Provider Demographics
NPI:1003231036
Name:MILLER, SARAH ASHLEY (OTR/L)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ASHLEY
Last Name:MILLER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ASHLEY
Other - Last Name:HAIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5210 E HAMPTON AVE
Mailing Address - Street 2:APT 2127
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-6788
Mailing Address - Country:US
Mailing Address - Phone:301-641-7433
Mailing Address - Fax:
Practice Address - Street 1:5210 E HAMPTON AVE
Practice Address - Street 2:APT 2127
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-6788
Practice Address - Country:US
Practice Address - Phone:301-641-7433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-27
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5729225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist