Provider Demographics
NPI:1144746066
Name:COTTON, SARAH (MOTR)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:COTTON
Suffix:
Gender:F
Credentials:MOTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3520 EXECUTIVE CENTER DR STE 128
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-1636
Mailing Address - Country:US
Mailing Address - Phone:512-343-0222
Mailing Address - Fax:
Practice Address - Street 1:3520 EXECUTIVE CENTER DRIVE, SUITE 128
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731
Practice Address - Country:US
Practice Address - Phone:512-343-0222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX114329225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX114329OtherTEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS