Boe, Sarita Ann

Boe, Sarita Ann is an individual health care provider with primary practice located at 333 Pine Ridge Blvd , Wausau WI 54401-4120. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Boe, Sarita Ann can be contacted via phone (715) 847-2826.

Contact Information

Primary practice address
333 Pine Ridge Blvd Wausau WI 54401-4120
Phone: (715) 847-2826
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 769-027 Wisconsin

Profile Details

NPI number 1194881896
LBN Legal business name Boe, Sarita Ann
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194881896 NPPES
Wisconsin MEDICAID 40831800

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