Provider Demographics
NPI:1013313881
Name:BROTSKY, SARAH MALKAH (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:MALKAH
Last Name:BROTSKY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4999 KINGSLEY DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45227-1134
Mailing Address - Country:US
Mailing Address - Phone:513-271-2313
Mailing Address - Fax:
Practice Address - Street 1:4999 KINGSLEY DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45227-1134
Practice Address - Country:US
Practice Address - Phone:513-271-2313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-06
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT.008752174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist