Andersen, Sara
Andersen, Sara is an individual health care provider with primary practice located at 13203 Globe Dr Ste 111 , Mt Pleasant WI 53177-1616. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Andersen, Sara can be contacted via phone (262) 287-0090.Contact Information
Primary practice address
13203 Globe Dr Ste 111
Mt Pleasant WI 53177-1616
Phone: (262) 287-0090
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 6436-26 | Wisconsin |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X |
Profile Details
NPI number | 1043781594 |
---|---|
LBN Legal business name | Andersen, Sara |
Credentials | Occupational Therapist (OT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 10th, 2018 |
Last updated | Nov 16th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043781594 | NPPES |
Wisconsin | MEDICAID | 1043781594 |
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