Provider Demographics
NPI:1326385618
Name:LARYEA, SARAH VERONICA (MS OTR/L)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:VERONICA
Last Name:LARYEA
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3010 WISCONSIN AVE NW
Mailing Address - Street 2:UNIT 105
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-5007
Mailing Address - Country:US
Mailing Address - Phone:202-525-1542
Mailing Address - Fax:
Practice Address - Street 1:3801 CONNECTICUT AVE NW
Practice Address - Street 2:SUITE #100
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-4530
Practice Address - Country:US
Practice Address - Phone:202-525-1532
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCOT010000451225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist