Individual
SARA MATERNOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 BARNEY DR, JOLIET, IL 60435-5271
(815) 725-2194
Mailing address
8605 W HAWTHORNE LN, FRANKLIN, WI 53132-2507
(414) 581-1424
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
276874
NBCOT
WI
Enumeration date
08/25/2010
Last updated
04/12/2013
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