Provider Demographics
NPI:1518201441
Name:TARLOW, SARAH ELLEN (MS OTR/L)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ELLEN
Last Name:TARLOW
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 N ALFRED ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-2502
Mailing Address - Country:US
Mailing Address - Phone:323-422-8881
Mailing Address - Fax:
Practice Address - Street 1:327 N ALFRED ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-2502
Practice Address - Country:US
Practice Address - Phone:323-422-8881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12782225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist