Provider Demographics
NPI:1629656277
Name:WOODBURY, SARAH (MS OTR/L)
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:
Last Name:WOODBURY
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 WITCHTROT RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH BERWICK
Mailing Address - State:ME
Mailing Address - Zip Code:03908-2152
Mailing Address - Country:US
Mailing Address - Phone:207-408-3803
Mailing Address - Fax:
Practice Address - Street 1:25 WALKER ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-4592
Practice Address - Country:US
Practice Address - Phone:800-464-3075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist