Provider Demographics
NPI:1013100585
Name:WHITNEY, SARAH J (MSOTR/L)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:J
Last Name:WHITNEY
Suffix:
Gender:F
Credentials:MSOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 W PECOS RD APT 1127
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-7412
Mailing Address - Country:US
Mailing Address - Phone:602-793-1492
Mailing Address - Fax:
Practice Address - Street 1:575 W PECOS RD APT 1127
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-7412
Practice Address - Country:US
Practice Address - Phone:602-793-1492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-19
Last Update Date:2007-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3933225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics