Provider Demographics
NPI:1093362873
Name:AULSBROOK, SARAH MICHELE (OTR, MOT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MICHELE
Last Name:AULSBROOK
Suffix:
Gender:F
Credentials:OTR, MOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 OHIO DR STE 137
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-3992
Mailing Address - Country:US
Mailing Address - Phone:972-964-0200
Mailing Address - Fax:
Practice Address - Street 1:2301 OHIO DR STE 137
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-3992
Practice Address - Country:US
Practice Address - Phone:972-964-0200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-26
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX120202225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics