Provider Demographics
NPI:1548699457
Name:BUCKLEY, SARAH (COTA/L)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:BUCKLEY
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 SMITH ST
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-6707
Mailing Address - Country:US
Mailing Address - Phone:508-243-4675
Mailing Address - Fax:
Practice Address - Street 1:589 HIGHLAND AVE
Practice Address - Street 2:REHAB DEPTARTMENT
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02494-2205
Practice Address - Country:US
Practice Address - Phone:781-455-9090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-01
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3654224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant