Provider Demographics
NPI:1154026995
Name:MCINTYRE, SARAH (COTA/L)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MCINTYRE
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2004 ORCHARD VIEW RD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19606-4412
Mailing Address - Country:US
Mailing Address - Phone:484-269-9379
Mailing Address - Fax:
Practice Address - Street 1:1800 TULPEHOCKEN RD
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1240
Practice Address - Country:US
Practice Address - Phone:610-374-3122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP010376224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant