Provider Demographics
NPI:1851725188
Name:PYLE, SARAH JO (OTA/L)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:JO
Last Name:PYLE
Suffix:
Gender:F
Credentials:OTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 BRANDYWINE DR
Mailing Address - Street 2:CONDO G
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-1376
Mailing Address - Country:US
Mailing Address - Phone:614-266-2044
Mailing Address - Fax:
Practice Address - Street 1:169 BRANDYWINE DR
Practice Address - Street 2:CONDO G
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-1376
Practice Address - Country:US
Practice Address - Phone:614-266-2044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-22
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02480302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization