Provider Demographics
NPI:1912187907
Name:O'BRIEN, SARAH (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:WERTHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, MPT
Mailing Address - Street 1:150 GRAND AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-3781
Mailing Address - Country:US
Mailing Address - Phone:510-451-5800
Mailing Address - Fax:
Practice Address - Street 1:150 GRAND AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-3781
Practice Address - Country:US
Practice Address - Phone:510-451-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-07
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029664-1174400000X
CA38332225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174400000XOther Service ProvidersSpecialist