Individual
SARAH ELYSE MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
100 SAN CARLOS RD, PUEBLO, CO 81005-2651
(719) 568-9536
Mailing address
2624 VINEWOOD LN, PUEBLO, CO 81005-3361
(812) 568-7485
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0005573
CO
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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