Individual
SARAH B VORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
411 W HAYCRAFT AVE STE D1, COEUR D ALENE, ID 83815-8104
(208) 664-2468
Mailing address
7130 W CHRISTINE ST, RATHDRUM, ID 83858-5144
(512) 695-7819
(512) 306-7380
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
109634
TX
225XP0200X
Pediatric Occupational Therapist
109634
TX
225XP0200X
Pediatric Occupational Therapist
Primary
9671934
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109634
STATE BOARD
TX
01
—
8T4309
BCBS
TX
Enumeration date
09/20/2006
Last updated
12/16/2024
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