Provider Demographics
NPI:1235563610
Name:RODAS, SARA
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:RODAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 GOLDEN ISLES DR APT 204
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-7566
Mailing Address - Country:US
Mailing Address - Phone:954-937-1913
Mailing Address - Fax:
Practice Address - Street 1:455 GOLDEN ISLES DR APT 204
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-7566
Practice Address - Country:US
Practice Address - Phone:954-937-1913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-21
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant