Provider Demographics
NPI:1114252897
Name:MCNEILL, SARAH (OTR/L)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MCNEILL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
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Mailing Address - Street 1:46 KAITLIN PL
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:RI
Mailing Address - Zip Code:02871-2244
Mailing Address - Country:US
Mailing Address - Phone:401-683-8063
Mailing Address - Fax:401-251-4242
Practice Address - Street 1:1272 W MAIN RD BLDG 2
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-6405
Practice Address - Country:US
Practice Address - Phone:401-683-8063
Practice Address - Fax:401-251-4242
Is Sole Proprietor?:No
Enumeration Date:2009-10-13
Last Update Date:2021-03-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAOT 4056174400000X
2251P0200X, 235Z00000X
RIOT01786225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No174400000XOther Service ProvidersSpecialist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI84-5079460OtherMCNEILL CHILDREN INSTITUTE