Provider Demographics
NPI:1235330309
Name:REUL, SARAH K (DR OT, OTR L)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:K
Last Name:REUL
Suffix:
Gender:F
Credentials:DR OT, OTR L
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:K
Other - Last Name:ZIDEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:1365 STONEGATE RD
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-5022
Mailing Address - Country:US
Mailing Address - Phone:630-709-9670
Mailing Address - Fax:
Practice Address - Street 1:1001 N GREENWOOD AVE
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-2054
Practice Address - Country:US
Practice Address - Phone:847-692-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056-008040225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist