Provider Demographics
NPI:1578726865
Name:SMITH, SARAH E (OT)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:E
Last Name:SMITH
Suffix:
Gender:F
Credentials:OT
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:E
Other - Last Name:MERKLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:7524 RIDGEWAY AVE
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-6136
Mailing Address - Country:US
Mailing Address - Phone:812-205-6568
Mailing Address - Fax:
Practice Address - Street 1:3801 OLD BRUCEVILLE RD
Practice Address - Street 2:
Practice Address - City:VINCENNES
Practice Address - State:IN
Practice Address - Zip Code:47591-3889
Practice Address - Country:US
Practice Address - Phone:812-882-1783
Practice Address - Fax:812-885-2278
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31004678A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist