Provider Demographics
NPI:1104462431
Name:ST. JAMES, SARAH (MS OTR/L)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:ST. JAMES
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 SETTLERS WAY
Mailing Address - Street 2:
Mailing Address - City:BUZZARDS BAY
Mailing Address - State:MA
Mailing Address - Zip Code:02532-5685
Mailing Address - Country:US
Mailing Address - Phone:508-737-0261
Mailing Address - Fax:
Practice Address - Street 1:24 SETTLERS WAY
Practice Address - Street 2:
Practice Address - City:BUZZARDS BAY
Practice Address - State:MA
Practice Address - Zip Code:02532-5685
Practice Address - Country:US
Practice Address - Phone:508-737-0261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-21
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9458225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist