Individual
SARAH L LICHTENAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
200 COLLEGE BLVD, OSAGE BEACH, MO 65065-8688
(615) 896-6400
Mailing address
21294 HEMAN DR, STOVER, MO 65078-1470
(615) 896-6400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2002002529
MO
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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