Provider Demographics
NPI:1144099961
Name:WEST HOFFERT, SARA MAE (MS OTR/L)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:MAE
Last Name:WEST HOFFERT
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 CLOVER CT
Mailing Address - Street 2:
Mailing Address - City:EPHRATA
Mailing Address - State:PA
Mailing Address - Zip Code:17522-1754
Mailing Address - Country:US
Mailing Address - Phone:717-283-9712
Mailing Address - Fax:
Practice Address - Street 1:43 CLOVER CT
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:PA
Practice Address - Zip Code:17522-1754
Practice Address - Country:US
Practice Address - Phone:717-283-9712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC013480225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist