MEDICARE: SARA HOPE KIFT OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	4867-26	WI

General Provider Information

NPI Number	:	1578880258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA HOPE KIFT OTR

Provider Business Mailing Address
First Line	:	5005 N PIEDRAS ST
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79920-5002
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5005 N PIEDRAS ST
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79920-5002
Country	:	US
Telephone Number	:	915-742-3736
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2010
Last Update Date	:	03/09/2015

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