Provider Demographics
NPI:1972263853
Name:WHITWORTH, SARAH (OTR, OTD, CHT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:WHITWORTH
Suffix:
Gender:F
Credentials:OTR, OTD, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 COUNTY ROAD 1155
Mailing Address - Street 2:
Mailing Address - City:BONHAM
Mailing Address - State:TX
Mailing Address - Zip Code:75418-6805
Mailing Address - Country:US
Mailing Address - Phone:903-271-3664
Mailing Address - Fax:
Practice Address - Street 1:3903 N US HIGHWAY 75 STE 100
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-2578
Practice Address - Country:US
Practice Address - Phone:903-271-3664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-20
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112742225X00000X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand