Individual
SARA ANN BELTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
265 S NATIONAL AVE, FOND DU LAC, WI 54935-5334
(920) 922-7342
Mailing address
115 CHERRY ST, CAMPBELLSPORT, WI 53010-2726
(920) 602-6723
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4570-027
WI
Other
Enumeration date
10/30/2008
Last updated
04/03/2020
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