Provider Demographics
NPI:1649400540
Name:WILLIAMS, SARAH DANIELLE THOMAS (OT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:DANIELLE THOMAS
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:831 E. UNIVERSITY BLVD
Mailing Address - Street 2:SUITE 14
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903
Mailing Address - Country:US
Mailing Address - Phone:301-891-4883
Mailing Address - Fax:
Practice Address - Street 1:831 UNIVERSITY BLVD E STE 14
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-2921
Practice Address - Country:US
Practice Address - Phone:301-891-4883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-27
Last Update Date:2018-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06926225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist