Provider Demographics
NPI:1558325514
Name:GORDISH, SARAH L (OTRL)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:L
Last Name:GORDISH
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:L
Other - Last Name:SAUNDERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTRL
Mailing Address - Street 1:1817 PIONEER DR
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-8586
Mailing Address - Country:US
Mailing Address - Phone:412-364-0681
Mailing Address - Fax:
Practice Address - Street 1:135 CUMBERLAND RD
Practice Address - Street 2:SUITE 105
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5447
Practice Address - Country:US
Practice Address - Phone:412-364-1886
Practice Address - Fax:412-364-7120
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC009148225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01965027OtherMA EI PROVIDER NUMBER