Individual
SARA LYNN HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1320 WISCONSIN ST., HUSDON, WI 54016
(715) 386-4528
Mailing address
1320 WISCONSIN ST, HUDSON, WI 54016
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5254-27
WI
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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