Individual
MRS. SARA TRIMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
128 S JACKSON ST, RUSHVILLE, IL 62681-1318
(217) 248-8859
Mailing address
128 S JACKSON ST, RUSHVILLE, IL 62681-1318
(217) 248-8859
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002405
IL
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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