Individual
SARAH A. EZERINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2835 N GRANDVIEW BLVD STE 100, PEWAUKEE, WI 53072-5546
(262) 574-1100
(262) 574-5193
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5214
WI
225X00000X
Occupational Therapist
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100023991
—
WI
Enumeration date
07/13/2012
Last updated
04/12/2024
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