Provider Demographics
NPI:1063021756
Name:VIOLA, SARAH RAE (MA, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:RAE
Last Name:VIOLA
Suffix:
Gender:F
Credentials:MA, OTR/L
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:RAE
Other - Last Name:JANKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, OTR/L
Mailing Address - Street 1:707 TAYLOR DR
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-6863
Mailing Address - Country:US
Mailing Address - Phone:701-830-0390
Mailing Address - Fax:
Practice Address - Street 1:707 TAYLOR DR
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-6863
Practice Address - Country:US
Practice Address - Phone:701-830-0390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-28
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1060225XG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontologyGroup - Single Specialty