Provider Demographics
NPI:1821207960
Name:DOWD, SARAH WRIGHTSON
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:WRIGHTSON
Last Name:DOWD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8133
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95407-1133
Mailing Address - Country:US
Mailing Address - Phone:510-757-5073
Mailing Address - Fax:
Practice Address - Street 1:1835 PORTOLA RD
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:CA
Practice Address - Zip Code:94062-1228
Practice Address - Country:US
Practice Address - Phone:510-757-5073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist