Individual
SARAH ANN PANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSORT OTR/L
Contact information
Practice address
4668 PEMBROKE BLVD STE 115, VIRGINIA BEACH, VA 23455
(577) 648-8562
(757) 648-8564
Mailing address
226 FERDINAND CIR, VIRGINIA BEACH, VA 23462-3860
(757) 705-4135
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0131001049
VA
225X00000X
Occupational Therapist
Primary
0131001049
VA
Other
Enumeration date
05/29/2015
Last updated
06/18/2018
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