Provider Demographics
NPI:1871917195
Name:EGAN, SARAH H
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:H
Last Name:EGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:HUDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1170 DENALI ST
Mailing Address - Street 2:#434
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99501-4529
Mailing Address - Country:US
Mailing Address - Phone:603-498-2859
Mailing Address - Fax:
Practice Address - Street 1:1170 DENALI ST
Practice Address - Street 2:#434
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-4529
Practice Address - Country:US
Practice Address - Phone:603-498-2859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-06
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5529225X00000X
AK2356225X00000X
CA14067225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist