Provider Demographics
NPI:1649595687
Name:MOLT, SARA ANN (OTR/L)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:ANN
Last Name:MOLT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1440 HALF DOME WAY UNIT 1
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-8449
Mailing Address - Country:US
Mailing Address - Phone:402-699-9944
Mailing Address - Fax:
Practice Address - Street 1:1000 EXECUTIVE PKWY
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95966-5100
Practice Address - Country:US
Practice Address - Phone:530-533-7335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8423225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist