Basic Information
| Provider Information | |||||||||
| NPI: | 1689221673 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GALL | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | BETH | ||||||||
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| Credential: | OTR/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3837 GRAHAM AVE | ||||||||
| Address2: | |||||||||
| City: | WINDBER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 159634508 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8143227179 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3053 NEW GERMANY RD | ||||||||
| Address2: | |||||||||
| City: | EBENSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 159313516 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8144721100 | ||||||||
| FaxNumber: | 8144726445 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/23/2019 | ||||||||
| LastUpdateDate: | 08/23/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | OC008987 | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.