Provider Demographics
NPI:1952867517
Name:SARABIA, CATHERINE MARLENE (COTA/L)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MARLENE
Last Name:SARABIA
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 1:829 SW 9TH CT # 2
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-8503
Mailing Address - Country:US
Mailing Address - Phone:954-330-9471
Mailing Address - Fax:
Practice Address - Street 1:829 SW 9TH CT # 2
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-8503
Practice Address - Country:US
Practice Address - Phone:954-330-9471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-19
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL17058224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant