Individual
SARAH A MUMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1604 NW STATE ST STE 102, ANKENY, IA 50023-1484
(515) 965-4594
(515) 965-4448
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004538
IA
225100000X
Physical Therapist
070017594
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070017594
PHYSICAL THERAPY LICENSE NUMBER
IL
Enumeration date
01/28/2010
Last updated
11/11/2021
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