Individual
MISS SARAH HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4121 PENNSYLVANIA AVE, DUBUQUE, IA 52002-2628
(563) 583-4003
Mailing address
4121 PENNSYLVANIA AVE, DUBUQUE, IA 52002-2628
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002148
IA
225X00000X
Occupational Therapist
056009109
IL
Other
Enumeration date
08/24/2010
Last updated
11/01/2011
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