Individual
MS. SARA ELIZABETH WILLCOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
325 E FLORIDA AVE, RENNES HEALTH & REHAB CENTER, APPLETON, WI 54911-1325
(920) 731-7310
(920) 733-3050
Mailing address
19 CHATEAU TER, OSHKOSH, WI 54901-8111
(920) 303-0607
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1402-27
WI
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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