Provider Demographics
NPI:1568606622
Name:TROPPER, SARA LIBA (OTR)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:LIBA
Last Name:TROPPER
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 1:1140 BAY 25TH ST
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-1749
Mailing Address - Country:US
Mailing Address - Phone:412-848-8616
Mailing Address - Fax:718-471-0435
Practice Address - Street 1:12450 METROPOLITAN AVE
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-2700
Practice Address - Country:US
Practice Address - Phone:718-847-5352
Practice Address - Fax:718-847-2912
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006716-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics