Provider Demographics
NPI:1861187908
Name:CONLON, SARAH PATRICIA (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:PATRICIA
Last Name:CONLON
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 BERG AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07740-4861
Mailing Address - Country:US
Mailing Address - Phone:732-618-7570
Mailing Address - Fax:
Practice Address - Street 1:15 SCHOOL RD E
Practice Address - Street 2:
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07746-2062
Practice Address - Country:US
Practice Address - Phone:908-448-7069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR01120000225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics