Provider Demographics
NPI:1942635321
Name:SINGALLA, SARAH
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:SINGALLA
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 1:8705 HAYSHED LN APT 22
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2844
Mailing Address - Country:US
Mailing Address - Phone:240-753-8382
Mailing Address - Fax:
Practice Address - Street 1:8705 HAYSHED LN APT 22
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2844
Practice Address - Country:US
Practice Address - Phone:240-753-8382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-04
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07241225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist