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Individual

SARAH RUPPERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3767 DELAWARE AVE, KENMORE, NY 14217-1040
(716) 874-6175
Mailing address
2215 DODGE RD, EAST AMHERST, NY 14051-1323
(716) 799-4340

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1114478070
NY
Enumeration date
10/17/2016
Last updated
12/21/2021
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