Provider Demographics
NPI:1295983047
Name:SMILEY, SARAH (OT/L)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:SMILEY
Suffix:
Gender:F
Credentials:OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 W. PETHGREW ST
Mailing Address - Street 2:PETHGREW REHABILITATION AND HEALTHCARE CENTER
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704
Mailing Address - Country:US
Mailing Address - Phone:919-416-9559
Mailing Address - Fax:919-416-9669
Practice Address - Street 1:1515 W. PETHGREW ST
Practice Address - Street 2:PETHGREW REHABILITATION AND HEALTHCARE CENTER
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704
Practice Address - Country:US
Practice Address - Phone:919-416-9559
Practice Address - Fax:919-416-9669
Is Sole Proprietor?:No
Enumeration Date:2008-09-05
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCOT 1379225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist