Provider Demographics
NPI:1083174262
Name:SABATELL, SOPHIE JEAN (OTR/L)
Entity Type:Individual
Prefix:
First Name:SOPHIE
Middle Name:JEAN
Last Name:SABATELL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 MALI DR
Mailing Address - Street 2:
Mailing Address - City:NORTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07062-2414
Mailing Address - Country:US
Mailing Address - Phone:908-868-8744
Mailing Address - Fax:
Practice Address - Street 1:150 MALI DR
Practice Address - Street 2:
Practice Address - City:NORTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07062-2414
Practice Address - Country:US
Practice Address - Phone:908-868-8744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-22
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC016110225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist