Individual
SARA WYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3096 FLORA LN, GOLDEN, CO 80401-1446
(989) 415-3349
Mailing address
3096 FLORA LN, GOLDEN, CO 80401-1446
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0004588
CO
225XP0200X
Pediatric Occupational Therapist
0004588
CO
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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