Provider Demographics
NPI:1437671708
Name:BUECHE, SARAH ROBERT (LOTR)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ROBERT
Last Name:BUECHE
Suffix:
Gender:F
Credentials:LOTR
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:JANE
Other - Last Name:ROBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LOTR
Mailing Address - Street 1:8080 BLUEBONNET BLVD STE 1000
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-7827
Mailing Address - Country:US
Mailing Address - Phone:225-408-7995
Mailing Address - Fax:225-408-7997
Practice Address - Street 1:8080 BLUEBONNET BLVD STE 1000
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-7827
Practice Address - Country:US
Practice Address - Phone:225-408-7995
Practice Address - Fax:225-408-7997
Is Sole Proprietor?:No
Enumeration Date:2017-07-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA305246225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist