Provider Demographics
NPI:1841879871
Name:SIDAR, SARAH S (OT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:S
Last Name:SIDAR
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 1:731 BASIN DR
Mailing Address - Street 2:
Mailing Address - City:INWOOD
Mailing Address - State:WV
Mailing Address - Zip Code:25428-3234
Mailing Address - Country:US
Mailing Address - Phone:703-261-4152
Mailing Address - Fax:703-890-7715
Practice Address - Street 1:731 BASIN DR
Practice Address - Street 2:
Practice Address - City:INWOOD
Practice Address - State:WV
Practice Address - Zip Code:25428-3234
Practice Address - Country:US
Practice Address - Phone:703-261-4152
Practice Address - Fax:703-890-7715
Is Sole Proprietor?:No
Enumeration Date:2021-04-06
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist