Provider Demographics
NPI:1407352834
Name:LINTON, SARAH FAYE (COTA)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:FAYE
Last Name:LINTON
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 1:2205 N FRAZIER ST APT 115
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77303-1776
Mailing Address - Country:US
Mailing Address - Phone:903-388-8030
Mailing Address - Fax:
Practice Address - Street 1:2205 N FRAZIER ST APT 115
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77303-1776
Practice Address - Country:US
Practice Address - Phone:903-388-8030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX213598224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant