Individual
SARA KAY VAN DYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1390 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4001
(651) 232-5412
Mailing address
4755 PARK COMMONS DR APT 542, MINNEAPOLIS, MN 55416-5141
(262) 573-0550
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105522
MN
225X00000X
Occupational Therapist
OT60933195
WA
Other
Enumeration date
01/08/2020
Last updated
04/06/2023
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