Provider Demographics
NPI:1801975453
Name:SABO, JAYNE LUGENE (OT)
Entity type:Individual
Prefix:
First Name:JAYNE
Middle Name:LUGENE
Last Name:SABO
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:JAYNE
Other - Middle Name:LUGENE
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3327 STATE ROUTE 422 NORTH WEST
Mailing Address - Street 2:
Mailing Address - City:SOUTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:44470
Mailing Address - Country:US
Mailing Address - Phone:330-898-4750
Mailing Address - Fax:
Practice Address - Street 1:8935 E MARKET ST
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-2353
Practice Address - Country:US
Practice Address - Phone:330-856-9532
Practice Address - Fax:330-856-9622
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist