Provider Demographics
NPI:1134519424
Name:ALI, SARAH (MS OTR/L)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:ALI
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:CT
Mailing Address - Zip Code:06420-4110
Mailing Address - Country:US
Mailing Address - Phone:860-514-4993
Mailing Address - Fax:
Practice Address - Street 1:611 OCEAN AVE
Practice Address - Street 2:UNIT G5
Practice Address - City:NEW LONDON
Practice Address - State:CT
Practice Address - Zip Code:06320-4422
Practice Address - Country:US
Practice Address - Phone:860-514-4493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-26
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3889225X00000X
CT003889225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist