Provider Demographics
NPI:1821332446
Name:SKRILETZ, SARINA ANN (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:SARINA
Middle Name:ANN
Last Name:SKRILETZ
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:937 CAMP TRAIL RD
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-5917
Mailing Address - Country:US
Mailing Address - Phone:215-932-1514
Mailing Address - Fax:
Practice Address - Street 1:937 CAMP TRAIL RD
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-5917
Practice Address - Country:US
Practice Address - Phone:215-932-1514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-20
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP006762224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant