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General NPI Number Information
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NPI Number | 1386328417
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Entity Type | Individual
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Provider Name | SARAH ANN WIRTZ OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/09/2023
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Last Update Date | 07/05/2025
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Provider Practice Location Address
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Address Line | 14315 108TH AVE STE 230
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City | ORLAND PARK
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State | IL
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Zip | 60467-5701
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Country | US
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Telephone | 708-675-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 333 N PARK RD
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City | LA GRANGE
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State | IL
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Zip | 60526-1802
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 31007570A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 056.014380
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License Number State | IL
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