Provider Demographics
NPI:1134380108
Name:GRAF, SARA LYNN (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:LYNN
Last Name:GRAF
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 1:9619 N DEARBORN RD
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:IN
Mailing Address - Zip Code:47022-8981
Mailing Address - Country:US
Mailing Address - Phone:812-623-7033
Mailing Address - Fax:
Practice Address - Street 1:9619 N DEARBORN RD
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:IN
Practice Address - Zip Code:47022-8981
Practice Address - Country:US
Practice Address - Phone:812-623-7033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-22
Last Update Date:2008-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31003378A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist