Provider Demographics
NPI:1184096000
Name:STROMSDORFER, SARAH INGRID (OTR)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:INGRID
Last Name:STROMSDORFER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 MEDLOCK RD
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-1508
Mailing Address - Country:US
Mailing Address - Phone:404-370-0460
Mailing Address - Fax:
Practice Address - Street 1:460 MEDLOCK RD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-1508
Practice Address - Country:US
Practice Address - Phone:404-370-0460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-30
Last Update Date:2016-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist