Individual
SARA ELIZABETH FOUTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
1601 SAINT LOUIS AVE, DULUTH, MN 55802-2442
(218) 740-3036
Mailing address
1106 E 4TH ST, SUPERIOR, WI 54880-3348
(715) 392-6047
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102604
MN
225X00000X
Occupational Therapist
3748-026
WI
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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