Provider Demographics
NPI:1053820423
Name:TAYLOR, SARAH ANNE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ANNE
Last Name:TAYLOR
Suffix:
Gender:
Credentials:OTR/L
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ANNE
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1556 HARBORSUN DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-8272
Mailing Address - Country:US
Mailing Address - Phone:803-730-5287
Mailing Address - Fax:
Practice Address - Street 1:379 PINEHAVEN STREET EXT
Practice Address - Street 2:
Practice Address - City:LAURENS
Practice Address - State:SC
Practice Address - Zip Code:29360-2672
Practice Address - Country:US
Practice Address - Phone:864-984-6584
Practice Address - Fax:864-984-6464
Is Sole Proprietor?:No
Enumeration Date:2017-09-28
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5076225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC5076OtherOCCUPATIONAL THERAPY LICENSE