Provider Demographics
NPI:1003941337
Name:CARVER, SARAH C (OT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:C
Last Name:CARVER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 RIDGE COURT
Mailing Address - Street 2:EXCELLENCE IN THERAPY
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076
Mailing Address - Country:US
Mailing Address - Phone:770-641-9239
Mailing Address - Fax:770-641-9336
Practice Address - Street 1:345 RIDGE COURT
Practice Address - Street 2:EXCELLENCE IN THERAPY
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076
Practice Address - Country:US
Practice Address - Phone:770-641-9239
Practice Address - Fax:770-641-9336
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA695492752AMedicaid