Provider Demographics
NPI:1346450186
Name:LLOYD, SARAH GREENE (COTA)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:GREENE
Last Name:LLOYD
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6724 TYLER DR
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:FL
Mailing Address - Zip Code:32570-7942
Mailing Address - Country:US
Mailing Address - Phone:251-294-0552
Mailing Address - Fax:
Practice Address - Street 1:4566 ORANGE BLVD
Practice Address - Street 2:SUITE 1000
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-9104
Practice Address - Country:US
Practice Address - Phone:877-896-3660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTA 10236224Z00000X
AL1803224Z00000X
TX209710224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant