Individual
SARAH KILBOURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 W LINCOLN WAY, JEFFERSON, IA 50129-1645
(515) 386-0284
Mailing address
PO BOX 461, NEVADA, IA 50201-0461
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00890
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00890
STATE LICENSE NUMBER
IA
Enumeration date
04/25/2013
Last updated
04/25/2013
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