Individual
MS. SARA LYNN DODSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
600 2ND AVE, NEW GLARUS, WI 53574-9776
(608) 527-4390
Mailing address
1314 PARK ST APT 3, BLACK EARTH, WI 53515-9510
(303) 656-8349
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5699-27
WI
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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