Individual
SARA MICHELLE DESROSIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 NW DEANE ST, PULLMAN, WA 99163-3705
(509) 332-1566
Mailing address
29318 STATE HIGHWAY 89, ROSEAU, MN 56751-8322
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60109877
WA
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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