Most Relevant Information
Provider Data
| NPI Number: | 1003345463 |
| Provider Name: | SARAH BENEPE COTA/L |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/08/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
764 107TH LN NW
COON RAPIDS
MN
55448
Practice Location Phone/Fax
| Phone: | 7632275754 |
| Fax: |
Provider Mailing Location
764 107TH LN NW
COON RAPIDS
MN
554484378
Provider Mailing Phone/Fax
| Phone: | 7632275754 |
| Fax: |