Provider Demographics
NPI:1093414856
Name:KINNEY, SARA-ASHLEY (MOT OTR/L)
Entity Type:Individual
Prefix:
First Name:SARA-ASHLEY
Middle Name:
Last Name:KINNEY
Suffix:
Gender:F
Credentials:MOT OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 MAGGIES WAY STE 2
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-4896
Mailing Address - Country:US
Mailing Address - Phone:302-450-3217
Mailing Address - Fax:302-883-8192
Practice Address - Street 1:25 MAGGIES WAY STE 2
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-4896
Practice Address - Country:US
Practice Address - Phone:302-450-3217
Practice Address - Fax:302-883-8192
Is Sole Proprietor?:No
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEU1-0012474225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist