Individual
MRS. SARAH J MUSGRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3131 WESTERN AVE, KINGMAN, AZ 86401-0951
(928) 718-0781
(928) 718-1177
Mailing address
3740 E SHAEFFER AVE, KINGMAN, AZ 86409-2390
(928) 692-3143
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4722
AZ
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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