Individual
SARAH ANN STUART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
406 S MAIN ST, WINNSBORO, TX 75494-3226
(903) 342-6790
Mailing address
400B KAUFMAN ST S, MT VERNON, TX 75457-2834
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211199
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211199
COTA LICENSE
TX
Enumeration date
08/31/2018
Last updated
08/31/2018
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