Provider Demographics
NPI:1710240346
Name:SPINK, SARAH J (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:J
Last Name:SPINK
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 1:46 PARK RD W
Mailing Address - Street 2:
Mailing Address - City:CASTILE
Mailing Address - State:NY
Mailing Address - Zip Code:14427-9637
Mailing Address - Country:US
Mailing Address - Phone:585-813-8815
Mailing Address - Fax:
Practice Address - Street 1:5550 SCHOOL RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:NY
Practice Address - Zip Code:14066-9788
Practice Address - Country:US
Practice Address - Phone:585-493-5999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007977-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist