Individual
SARA M. MCNAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
N4577 COUNTY ROAD Y, MONTELLO, WI 53949-9333
(608) 297-7168
Mailing address
N4577 COUNTY ROAD Y, MONTELLO, WI 53949-9333
(608) 297-7168
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1323-126
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1323-126
WI OCCUPATIONAL THERAPY LICESURE
WI
05
—
40699300
—
WI
Enumeration date
04/22/2008
Last updated
04/22/2008
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