National Provider Identifier
Shane Sargent, OTR
Shane Sargent, OTR is listed in the NPPES registry with a primary specialty of Occupational Therapist in Addison, NY and a listed phone number of (607) 359-2261.
Profile Overview
- NPI
- 1407149503
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- May 23, 2011
- Last Updated
- May 23, 2011
Practice Location
- 7787 State Route 417
- Addison, NY 14801-9504
Phone: (607) 359-2261
Mailing Address
- 18 Ryon Cir
- Lawrenceville, PA 16929-9418
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1407149503
- Entity Type
- Individual
- Last Name
- Sargent
- First Name
- Shane
- Name Prefix
- MS.
- Credential
- OTR
- Mailing Street Address
- 18 Ryon Cir
- Mailing City
- Lawrenceville
- Mailing State
- PA
- Mailing ZIP Code
- 16929-9418
- Mailing Country
- US
- Mailing Phone
- (607) 368-7949
- Practice Street Address
- 7787 State Route 417
- Practice City
- Addison
- Practice State
- NY
- Practice ZIP Code
- 14801-9504
- Practice Country
- US
- Practice Phone
- (607) 359-2261
- Enumeration Date
- May 23, 2011
- Last Updated
- May 23, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)