Individual
MRS. SARA ANNE CEARLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
136 E PALMER ST, TAYLORVILLE, IL 62568-2569
(217) 823-0642
Mailing address
136 E PALMER ST, TAYLORVILLE, IL 62568-2569
(217) 823-0642
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
057.003079
IL
Other
Enumeration date
08/23/2010
Last updated
01/28/2014
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