Provider Demographics
NPI:1811203268
Name:ANDERSON, SARAH E (OTR/L)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:ANDERSON
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 1:200 N FAIRWAY DR
Mailing Address - Street 2:SUITE 208
Mailing Address - City:VERNON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60061-1861
Mailing Address - Country:US
Mailing Address - Phone:847-996-6666
Mailing Address - Fax:847-996-6665
Practice Address - Street 1:200 N. FAIRWAY DRIVE
Practice Address - Street 2:SUITE 208
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061
Practice Address - Country:US
Practice Address - Phone:847-996-6666
Practice Address - Fax:847-996-6665
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-24
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056-009083225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist