Provider Demographics
NPI:1588798565
Name:SERMARINI, SANDIE RENEE (OTR)
Entity Type:Individual
Prefix:MRS
First Name:SANDIE
Middle Name:RENEE
Last Name:SERMARINI
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MRS
Other - First Name:SANDIE
Other - Middle Name:RENEE
Other - Last Name:SERMARINI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR/L
Mailing Address - Street 1:8 DANBURY CT
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-7528
Mailing Address - Country:US
Mailing Address - Phone:808-722-5421
Mailing Address - Fax:
Practice Address - Street 1:2761 JEFFERSON DAVIS HWY
Practice Address - Street 2:SUITE 209
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-8329
Practice Address - Country:US
Practice Address - Phone:540-657-1423
Practice Address - Fax:540-657-1424
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119005708225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics