Sara Lynn Mulcahy, COTA
Individual provider Active NPI Occupational Therapy Assistant · Buckland, OH
NPI 1962682153 · NPPES record last updated Nov 6, 2007
Key facts
- NPI
- 1962682153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 02656 (OH)
- Practice address
- 110 W Auglaize St
Buckland, OH 45819-9703 - Phone
- (419) 296-3913
- NPI assigned
- Nov 6, 2007
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 02656 | OH | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 02656 | OH | Yes |
Addresses
Primary practice location
110 W Auglaize St
Buckland, OH 45819-9703
Mailing address
110 W Auglaize St
Buckland, OH 45819-9703
Phone (419) 296-3913
Other providers in Buckland, OH
All providers in Buckland, OH · Occupational Therapy Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.