Individual
MRS. SARAH JEAN PULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
911 3RD ST W, ASHLAND, WI 54806-1311
(715) 682-8172
Mailing address
911 3RD ST W, ASHLAND, WI 54806-1311
(715) 682-8172
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4690-027
WI
Other
Enumeration date
08/07/2009
Last updated
08/07/2009
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