Sara Forsyth, OTR/L

Individual provider Active NPI Occupational Therapist · Libby, MT

NPI 1205100104 · NPPES record last updated Feb 24, 2012

Key facts

NPI
1205100104
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
807 (MT)
Practice address
308 E 3Rd St
Libby, MT 59923-2140
Phone
(406) 293-3032
NPI assigned
Feb 24, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
807MTMDOptometrist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 807 MT Yes

Addresses

Primary practice location

308 E 3Rd St
Libby, MT 59923-2140

Mailing address

160 Boulder LN
Libby, MT 59923-9304
Phone (406) 293-5283

Other providers in Libby, MT

All providers in Libby, MT · Occupational Therapist in Montana

Sources for this page

Verify at the official NPI Registry.