Provider Demographics
NPI:1528102035
Name:YARGER, SARA LYNN (OT)
Entity type:Individual
Prefix:MS
First Name:SARA
Middle Name:LYNN
Last Name:YARGER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1688
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46061-1688
Mailing Address - Country:US
Mailing Address - Phone:317-331-4564
Mailing Address - Fax:317-774-0361
Practice Address - Street 1:9456 FAIRVIEW PKWY
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-1585
Practice Address - Country:US
Practice Address - Phone:317-331-4564
Practice Address - Fax:317-774-0361
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31000827225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist