Individual
SARA J. BOECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
400 HIGHLAND ST, FAIRFIELD, IA 52556-3713
(641) 469-4353
(641) 469-4288
Mailing address
23132 OSAGE AVE, KEOSAUQUA, IA 52565-8299
(641) 469-4353
(641) 469-4288
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00286
IA
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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