Individual
SARA SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
701 N. LAKE STREET, PESHTIGO, WI 54157
(715) 582-3962
Mailing address
3089 NUTHATCH LANE, OCONTO, WI 54153
(920) 680-7014
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4873-26
WI
Other
Enumeration date
09/10/2010
Last updated
11/13/2014
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