Individual
SARAH ROSE CHURCHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0645
SD
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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