Provider Demographics
NPI:1992173967
Name:MESSER, SARA EMILY (OTR/L, SCEM, ECHMHTC)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:EMILY
Last Name:MESSER
Suffix:
Gender:F
Credentials:OTR/L, SCEM, ECHMHTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 SANTA RITA RD
Mailing Address - Street 2:
Mailing Address - City:TEMPLETON
Mailing Address - State:CA
Mailing Address - Zip Code:93465-4041
Mailing Address - Country:US
Mailing Address - Phone:971-218-2115
Mailing Address - Fax:
Practice Address - Street 1:1130 GROVE ST # 101
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-2914
Practice Address - Country:US
Practice Address - Phone:805-542-0830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-08
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9285225XE0001X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
No225XE0001XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistEnvironmental Modification