Provider Demographics
NPI:1649795923
Name:MADDEN, SARAH (MOT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MADDEN
Suffix:
Gender:F
Credentials:MOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10321 CELTIC ASH DR
Mailing Address - Street 2:
Mailing Address - City:RUSKIN
Mailing Address - State:FL
Mailing Address - Zip Code:33573-6740
Mailing Address - Country:US
Mailing Address - Phone:135-008-8188
Mailing Address - Fax:
Practice Address - Street 1:9215 CAUSEWAY BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-6608
Practice Address - Country:US
Practice Address - Phone:813-500-8818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-08
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist