Provider Demographics
NPI:1164680880
Name:LEE, SARAH MEGHAN (OTR)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MEGHAN
Last Name:LEE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20189 E MAPLEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80016-1279
Mailing Address - Country:US
Mailing Address - Phone:832-605-3974
Mailing Address - Fax:
Practice Address - Street 1:20189 E MAPLEWOOD LN
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80016-1279
Practice Address - Country:US
Practice Address - Phone:832-605-3974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109396225X00000X
CO0006285225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist