Individual
SARAH E JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 HIGHLAND AVE, COMPLIANCE MAIL CODE-2433, MADISON, WI 53792-0001
(608) 662-0817
Mailing address
333 5TH ST, BARABOO, WI 53913-2222
(608) 225-5510
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1828-27
WI
225X00000X
Occupational Therapist
4662-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1828-27
OTA
WI
01
—
4662-26
OT
WI
Enumeration date
07/22/2006
Last updated
10/15/2008
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