Provider Demographics
NPI:1457644221
Name:KLEMOWITZ, SARAH F (OT)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:F
Last Name:KLEMOWITZ
Suffix:
Gender:F
Credentials:OT
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:F
Other - Last Name:DIXON-SULLIVAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:823 LIVINGSTON ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19125-3516
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:823 LIVINGSTON ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19125-3516
Practice Address - Country:US
Practice Address - Phone:609-203-2421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-26
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC011792225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist