Individual
SARAH CATHERINE BROADWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1 KAYLOR CIR, FROSTBURG, MD 21532-2009
(301) 689-7446
Mailing address
1 KAYLOR CIR, FROSTBURG, MD 21532-2009
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01905
MD
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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