Provider Demographics
NPI:1659706067
Name:SCHIELE, SARA (COTA)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:SCHIELE
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1073 SING SING RD
Mailing Address - Street 2:APT C4
Mailing Address - City:HORSEHEADS
Mailing Address - State:NY
Mailing Address - Zip Code:14845-1389
Mailing Address - Country:US
Mailing Address - Phone:716-903-9176
Mailing Address - Fax:
Practice Address - Street 1:17 OLIVER ST
Practice Address - Street 2:
Practice Address - City:AVOCA
Practice Address - State:NY
Practice Address - Zip Code:14809-9606
Practice Address - Country:US
Practice Address - Phone:607-382-1426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant