Provider Demographics
NPI:1093328395
Name:SABET, SABRINA (OTR/L)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:SABET
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 1:10833 WILSHIRE BLVD APT 522
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-4385
Mailing Address - Country:US
Mailing Address - Phone:310-435-0269
Mailing Address - Fax:
Practice Address - Street 1:10833 WILSHIRE BLVD APT 522
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-4385
Practice Address - Country:US
Practice Address - Phone:310-435-0269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-26
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18366225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist