Most Relevant Information
Provider Data
| NPI Number: | 1003686197 |
| Provider Name: | SARAH KOVACH |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 0131002610 |
Most Important Dates
| Enumeration Date: | 01/08/2024 |
| Last Updated: | 01/08/2024 |
Provider Practice Location
225 MIDWAY MEDICAL PARK
BRISTOL
TN
376201680
Practice Location Phone/Fax
| Phone: | 4237974555 |
| Fax: |
Provider Mailing Location
154 MONTVALE ST
BRISTOL
VA
242012975
Provider Mailing Phone/Fax
| Phone: | 4237420049 |
| Fax: |