Provider Demographics
NPI:1912347832
Name:PELKEY, SARA (MSOTR/L)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:PELKEY
Suffix:
Gender:F
Credentials:MSOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 LINDEN PONDS WAY
Mailing Address - Street 2:HOBART GROVE
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-8714
Mailing Address - Country:US
Mailing Address - Phone:781-534-7168
Mailing Address - Fax:781-534-7382
Practice Address - Street 1:205 LINDEN PONDS WAY
Practice Address - Street 2:HOBART GROVE
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-8714
Practice Address - Country:US
Practice Address - Phone:781-534-7168
Practice Address - Fax:781-534-7382
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10231225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist