Individual
SARAH A PATRICKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1970 S RIDGE RD, GREEN BAY, WI 54304-4125
(920) 430-4888
(920) 430-4889
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3808-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043893
NATIONAL BOARD CERTIFICATION IN OCUPATIONAL THERAPY
—
Enumeration date
12/20/2011
Last updated
10/28/2020
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