Individual
SARAH MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
618 W NORTH ST, MOUNTAIN GROVE, MO 65711-1931
(623) 707-3729
Mailing address
618 W NORTH ST, MOUNTAIN GROVE, MO 65711-1931
(623) 707-3729
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2020017503
MO
224Z00000X
Occupational Therapy Assistant
6148
AZ
225X00000X
Occupational Therapist
6148
AZ
Other
Enumeration date
08/31/2018
Last updated
01/23/2024
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