Provider Demographics
NPI:1104988369
Name:WANGMO, SARAH TSOKNYI (OTR, CHT)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:TSOKNYI
Last Name:WANGMO
Suffix:
Gender:F
Credentials:OTR, CHT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:TEAGUE
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:601 E HAMPDEN AVE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3781
Mailing Address - Country:US
Mailing Address - Phone:303-744-7078
Mailing Address - Fax:303-871-7067
Practice Address - Street 1:601 E HAMPDEN AVE
Practice Address - Street 2:SUITE 500
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3781
Practice Address - Country:US
Practice Address - Phone:303-744-7078
Practice Address - Fax:303-871-7067
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2051225XH1200X
KS1002499225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand