Provider Demographics
NPI:1972962090
Name:FEINER, SARAH GRACE (OT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:GRACE
Last Name:FEINER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:GRACE
Other - Last Name:HAGBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:8823 PRODUCTION LN
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-6511
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:423-238-3473
Practice Address - Street 1:600 CHASTAIN RD NW
Practice Address - Street 2:STE 428
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-3004
Practice Address - Country:US
Practice Address - Phone:770-425-6701
Practice Address - Fax:770-425-6703
Is Sole Proprietor?:No
Enumeration Date:2016-02-17
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT006346225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist