Provider Demographics
NPI:1467675579
Name:DEVITT, SARA BAKER (MS OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:BAKER
Last Name:DEVITT
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:MS
Other - First Name:SARA
Other - Middle Name:NICOLE
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:22 GRAFTON ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02474-6906
Mailing Address - Country:US
Mailing Address - Phone:617-320-1469
Mailing Address - Fax:
Practice Address - Street 1:22 GRAFTON ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02474-6906
Practice Address - Country:US
Practice Address - Phone:617-320-1469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8861225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist