Individual
SARAH MOREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLVT, COMS
Contact information
Practice address
5372 E HART LAKE LOOP, WASILLA, AK 99654-9356
(907) 707-5564
Mailing address
5372 E HART LAKE LOOP, WASILLA, AK 99654-9356
(907) 707-5564
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
AK
225400000X
Rehabilitation Practitioner
—
—
2255R0406X
Blind Rehabilitation Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
05/20/2021
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