Provider Demographics
NPI:1780868018
Name:BRETT, SARA LOUISE (OTR)
Entity type:Individual
Prefix:MISS
First Name:SARA
Middle Name:LOUISE
Last Name:BRETT
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 OLD SPRINGVILLE RD
Mailing Address - Street 2:STE 104
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35215-5858
Mailing Address - Country:US
Mailing Address - Phone:205-520-9600
Mailing Address - Fax:205-520-0455
Practice Address - Street 1:547 WARWOMAN RD
Practice Address - Street 2:MVHC
Practice Address - City:CLAYTON
Practice Address - State:GA
Practice Address - Zip Code:30525-5142
Practice Address - Country:US
Practice Address - Phone:706-782-4276
Practice Address - Fax:706-782-0303
Is Sole Proprietor?:No
Enumeration Date:2007-12-21
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT004609225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist