Individual
SARA KATHERINE HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1005 N FREDERICK AVE, SUITE 4, OELWEIN, IA 50662-1018
(319) 283-2002
(319) 283-2015
Mailing address
2213 GRAND AVE, DES MOINES, IA 50312-5305
(515) 237-3974
(515) 288-0122
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01030
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821461344
BCBS
IA
05
—
1821461344
—
IA
01
—
35202809
AMERIGROUP
IA
01
—
64080680
AMERIHEALTH CARITAS
IA
Enumeration date
09/10/2007
Last updated
03/29/2016
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