Individual
SARAH SUE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2705 ENLOE ST, HUDSON, WI 54016-8173
(715) 386-2128
(715) 386-6119
Mailing address
2683 LEYLAND TRL, WOODBURY, MN 55125-3571
(651) 207-6087
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4201
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15665
HEALTH PARTNERS
—
01
—
3582973
AETNA
—
05
—
40877300
—
WI
01
—
6404786
MEDICA
—
01
—
641671046996
PREFERRED ONE
—
01
—
97G20GR
BCBS MN
MN
Enumeration date
10/05/2006
Last updated
07/09/2007
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