Provider Demographics
NPI:1942035464
Name:BONNER, SARAH CHRISTINE (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:CHRISTINE
Last Name:BONNER
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 RING NECK CT
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-7970
Mailing Address - Country:US
Mailing Address - Phone:724-766-2246
Mailing Address - Fax:
Practice Address - Street 1:2100 GARDEN DR STE 101
Practice Address - Street 2:
Practice Address - City:SEVEN FIELDS
Practice Address - State:PA
Practice Address - Zip Code:16046-7870
Practice Address - Country:US
Practice Address - Phone:724-890-5190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC020231225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics