Provider Demographics
NPI:1376354266
Name:DANIELS, SARAH LYNN (OTR/L)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:LYNN
Last Name:DANIELS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:LYNN
Other - Last Name:JEFFREYS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7310 W HUMMEL DR
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83709-1836
Mailing Address - Country:US
Mailing Address - Phone:509-990-4940
Mailing Address - Fax:
Practice Address - Street 1:520 S EAGLE RD STE 2106
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-6363
Practice Address - Country:US
Practice Address - Phone:208-706-5775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-18
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID9571740225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist