Provider Demographics
NPI:1831470186
Name:CARLTON, SARAH LEE (OTR)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:LEE
Last Name:CARLTON
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:LEE
Other - Last Name:CARLTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR
Mailing Address - Street 1:14834 39TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST PARK
Mailing Address - State:WA
Mailing Address - Zip Code:98155-7813
Mailing Address - Country:US
Mailing Address - Phone:206-297-1415
Mailing Address - Fax:
Practice Address - Street 1:14834 39TH AVE NE
Practice Address - Street 2:
Practice Address - City:LAKE FOREST PARK
Practice Address - State:WA
Practice Address - Zip Code:98155-7813
Practice Address - Country:US
Practice Address - Phone:206-297-1415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-31
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT0000158225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAOT00001548OtherWASHINGTON STATE DEPARTMENT OF HEALTH