Conrad, Sara M

Conrad, Sara M is an individual health care provider with primary practice located at 3431 N 13Th St , Sheboygan WI 53083-2938. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Conrad, Sara M can be contacted via phone (920) 457-5046.

Contact Information

Primary practice address
3431 N 13Th St Sheboygan WI 53083-2938
Phone: (920) 457-5046
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 1987-027 Wisconsin

Profile Details

NPI number 1710194923
LBN Legal business name Conrad, Sara M
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
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 1710194923 NPPES
Wisconsin MEDICAID 41044800

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