Provider Demographics
NPI:1003241241
Name:O'NEIL, SARAH MARIA
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:MARIA
Last Name:O'NEIL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 ELMER ST APT 18
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-6968
Mailing Address - Country:US
Mailing Address - Phone:651-434-0599
Mailing Address - Fax:
Practice Address - Street 1:160 ELMER ST APT 18
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-6968
Practice Address - Country:US
Practice Address - Phone:651-434-0599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-06
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist