Provider Demographics
NPI:1073865358
Name:GATES, SARAH KERRINGTON (MOTR/L)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:KERRINGTON
Last Name:GATES
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4833 RUGBY AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-3035
Mailing Address - Country:US
Mailing Address - Phone:571-344-4059
Mailing Address - Fax:301-913-2939
Practice Address - Street 1:4833 RUGBY AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-3035
Practice Address - Country:US
Practice Address - Phone:571-344-4059
Practice Address - Fax:301-913-2939
Is Sole Proprietor?:No
Enumeration Date:2012-10-10
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06661225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics