Individual
MRS. SARAH ELIZABETH MITTELSTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5100 S MAIN AVE APT E307, SPRINGFIELD, MO 65810-7830
(417) 693-2744
Mailing address
5100 S MAIN AVE APT E307, SPRINGFIELD, MO 65810-7830
(417) 693-2744
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2023033681
MO
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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