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Individual

SARA BROTHERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD

Contact information

Practice address
3817 COLONEL GLENN HWY, BEAVERCREEK, OH 45324-2268
(937) 427-9200
Mailing address
PO BOX 411169, BOSTON, MA 02241-1169
(914) 294-4050

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
225X00000X
Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0406425
OH
Enumeration date
09/02/2020
Last updated
06/16/2022
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