Individual ProviderSarah Anne NiswongerOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address725 Welch Rd # Mc5952, Palo Alto, CA 94304-1601(650) 736-4055PECOS EnrollmentBased on the most recent information from CMS, provider Sarah Anne Niswonger does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:05 AM.Profile DetailsProvider ID1568630911Provider TypeIndividualFull NameNiswonger, Sarah AnneCredentialMS OTR/LGenderFemaleSole ProprietorNoEnumeration Date2/19/2008Last Updated4/28/2016Contact InformationPractice LocationPractice Address725 Welch Rd # Mc5952, Palo Alto, CA 94304-1601Phone(650) 736-4055FaxUnlisted FaxMailing LocationMailing Address725 Welch Rd # Mc5952, Palo Alto, CA 94304-1601Phone(650) 736-4055FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseOT 7585CaliforniaCode174400000XDescriptionSpecialistOther Service ProvidersLicense7585California