Provider Demographics
NPI:1508258690
Name:SACHS, KERRIE (OTR/L)
Entity Type:Individual
Prefix:
First Name:KERRIE
Middle Name:
Last Name:SACHS
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 1:4835 CORDELL AVE
Mailing Address - Street 2:APT 220
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-3147
Mailing Address - Country:US
Mailing Address - Phone:203-912-1503
Mailing Address - Fax:
Practice Address - Street 1:4835 CORDELL AVE
Practice Address - Street 2:APT 220
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-3147
Practice Address - Country:US
Practice Address - Phone:203-912-1503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-26
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07631225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist