Provider Demographics
NPI:1497435374
Name:JAWORSKI, SARAH JANE (OTR)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:JANE
Last Name:JAWORSKI
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4708 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-3617
Mailing Address - Country:US
Mailing Address - Phone:331-214-0042
Mailing Address - Fax:
Practice Address - Street 1:116 E 125TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-1612
Practice Address - Country:US
Practice Address - Phone:212-426-1284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist