Gresbach, Sara Beth

Gresbach, Sara Beth is an individual health care provider with primary practice located at 7878 N 76Th St , Milwaukee WI 53223-3914. 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. Gresbach, Sara Beth can be contacted via phone (414) 352-3100.

Contact Information

Primary practice address
7878 N 76Th St Milwaukee WI 53223-3914
Phone: (414) 352-3100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 405426 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X Illinois

Profile Details

NPI number 1639134109
LBN Legal business name Gresbach, Sara Beth
Credentials OTRL
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jul 11th, 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 1639134109 NPPES
Wisconsin MEDICAID 41036000

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