Most Relevant Information
Provider Data
NPI Number: | 1003575754 |
Provider Name: | SARAH ELYSE MCDONALD OTR/L |
Entity Type: | Individual |
Taxonomy Code: | 225X00000X |
Specialty: | Occupational Therapist |
License Number: | OT.0005573 |
Most Important Dates
Enumeration Date: | 12/09/2021 |
Last Updated: | 12/09/2021 |
Provider Practice Location
100 SAN CARLOS RD
PUEBLO
CO
810052651
Practice Location Phone/Fax
Phone: | 7195689536 |
Fax: |
Provider Mailing Location
2624 VINEWOOD LN
PUEBLO
CO
810053361
Provider Mailing Phone/Fax
Phone: | 8125687485 |
Fax: |