Provider Demographics
NPI:1467832022
Name:SARVER, IRENE SARA (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:IRENE
Middle Name:SARA
Last Name:SARVER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:286 RALEIGH TAVERN LN
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-5635
Mailing Address - Country:US
Mailing Address - Phone:978-688-9272
Mailing Address - Fax:
Practice Address - Street 1:90 WEST ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:MA
Practice Address - Zip Code:01887-3039
Practice Address - Country:US
Practice Address - Phone:978-658-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-08
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA969225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist