Individual
MRS. SARAH HALFACRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4501 LOUISE UNDERWOOD WAY, LOUISVILLE, KY 40216-3987
(502) 368-2348
Mailing address
4501 LOUISE UNDERWOOD WAY, LOUISVILLE, KY 40216-3987
(502) 368-2348
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
131967
KY
225X00000X
Occupational Therapist
KY-R4070
KY
225XP0200X
Pediatric Occupational Therapist
KY-R4070
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13592861
CAQH
KY
01
—
50098244
PASSPORT HEALTH
KY
05
—
7100329710
—
KY
Enumeration date
11/03/2008
Last updated
10/11/2016
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