Provider Demographics
NPI:1922862036
Name:PRASAD, SAPNA (COTA/L)
Entity Type:Individual
Prefix:MISS
First Name:SAPNA
Middle Name:
Last Name:PRASAD
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:SAPNA
Other - Middle Name:
Other - Last Name:RADHAKRISHNAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:58 ARBOR CIR
Mailing Address - Street 2:
Mailing Address - City:COLMAR
Mailing Address - State:PA
Mailing Address - Zip Code:18915-9614
Mailing Address - Country:US
Mailing Address - Phone:267-614-2072
Mailing Address - Fax:
Practice Address - Street 1:PRESBYTERIAN SENIOR LIVING
Practice Address - Street 2:777 FERRY ROAD
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901
Practice Address - Country:US
Practice Address - Phone:800-992-8992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP002207L224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant