Provider Demographics
NPI:1790968949
Name:EISLER, SARA COURTNEY (MS, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:COURTNEY
Last Name:EISLER
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 1:154 CEDAR ST
Mailing Address - Street 2:APT 2-6
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02144-2665
Mailing Address - Country:US
Mailing Address - Phone:551-265-0966
Mailing Address - Fax:
Practice Address - Street 1:154 CEDAR ST
Practice Address - Street 2:APT 2-6
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02144-2665
Practice Address - Country:US
Practice Address - Phone:551-265-0966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-11
Last Update Date:2014-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10538225X00000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics