Provider Demographics
NPI:1366754525
Name:REICH - FEUCHTWANGER, SARAH G (OTR/L)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:G
Last Name:REICH - FEUCHTWANGER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 BEACH 9TH ST
Mailing Address - Street 2:APT 1C
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-4847
Mailing Address - Country:US
Mailing Address - Phone:718-687-7449
Mailing Address - Fax:
Practice Address - Street 1:1245 BEACH 9TH ST
Practice Address - Street 2:APT 1C
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-4847
Practice Address - Country:US
Practice Address - Phone:718-687-7449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-05
Last Update Date:2010-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015475225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics