Provider Demographics
NPI:1205319555
Name:HARRELL, SABINE ANJA (MS OT)
Entity type:Individual
Prefix:
First Name:SABINE
Middle Name:ANJA
Last Name:HARRELL
Suffix:
Gender:F
Credentials:MS OT
Other - Prefix:
Other - First Name:SABINE
Other - Middle Name:ANJA
Other - Last Name:HANNON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS OT
Mailing Address - Street 1:2916 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:LEAVENWORTH
Mailing Address - State:KS
Mailing Address - Zip Code:66048-5002
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2916 S 4TH ST
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-5002
Practice Address - Country:US
Practice Address - Phone:913-758-0283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-12
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist