Individual
BROOKE M. SAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1051 4TH AVE, GALLIPOLIS, OH 45631
(740) 446-5244
(740) 446-5448
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5244
(740) 446-5448
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4367
SC
225X00000X
Occupational Therapist
OT.003840
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000204793
OH MEDICAID UNISON
—
01
—
000000217244
ANTHEM BCBS
—
01
—
001714137
MOUNTAIN STATE BCBS
—
05
—
0159613000
—
WV
01
—
0555340
MOLINA MEDICAID
OH
05
—
3058935
—
OH
01
—
310917085176
OHIO MEDICAID CARESOURCE
—
01
—
670001493
RR MEDICARE
—
Enumeration date
07/19/2006
Last updated
01/15/2015
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