Provider Demographics
NPI:1619963618
Name:BEAL, SARAH-ANN (MHS, OTR/L, CHT)
Entity Type:Individual
Prefix:
First Name:SARAH-ANN
Middle Name:
Last Name:BEAL
Suffix:
Gender:F
Credentials:MHS, OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22382 SHADOWY SPRUCE DR
Mailing Address - Street 2:
Mailing Address - City:CHUGIAK
Mailing Address - State:AK
Mailing Address - Zip Code:99567-5452
Mailing Address - Country:US
Mailing Address - Phone:907-668-1479
Mailing Address - Fax:
Practice Address - Street 1:5955 ZEAMER AVENUE
Practice Address - Street 2:673D MDG
Practice Address - City:JBER
Practice Address - State:AK
Practice Address - Zip Code:99506
Practice Address - Country:US
Practice Address - Phone:907-580-1740
Practice Address - Fax:907-580-1740
Is Sole Proprietor?:No
Enumeration Date:2005-09-25
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT-2915225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand