Provider Demographics
NPI:1346574050
Name:SARRACINO, TAMMY I (OTR/L)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:I
Last Name:SARRACINO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:TAMARA
Other - Middle Name:I
Other - Last Name:SARRACINO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR/L
Mailing Address - Street 1:4210 LINGLESTOWN RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-1025
Mailing Address - Country:US
Mailing Address - Phone:717-540-9218
Mailing Address - Fax:717-545-3127
Practice Address - Street 1:4210 LINGLESTOWN RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-1025
Practice Address - Country:US
Practice Address - Phone:717-540-9218
Practice Address - Fax:717-545-3127
Is Sole Proprietor?:No
Enumeration Date:2009-09-28
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC005259R225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist