Provider Demographics
NPI:1033680343
Name:JOSEPH, SASHA (MS, OTR/L)
Entity type:Individual
Prefix:MS
First Name:SASHA
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:SASHA
Other - Middle Name:
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:2122 YORK RD STE 300
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1925
Mailing Address - Country:US
Mailing Address - Phone:038-123-6568
Mailing Address - Fax:
Practice Address - Street 1:305 N UNION ST STE 101
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-3453
Practice Address - Country:US
Practice Address - Phone:302-778-0810
Practice Address - Fax:302-778-0812
Is Sole Proprietor?:No
Enumeration Date:2018-12-12
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC016082225X00000X
NJ46TR00908100225X00000X
DEU1-0012430225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist