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General NPI Number Information
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NPI Number | 1972844421
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Entity Type | Individual
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Provider Name | SARA HELLSTROM COTA/L
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Gender | Female
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Dates
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Enumeration Date | 03/08/2013
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 901 CLARK ST
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City | OVIEDO
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State | FL
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Zip | 32765-7378
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Country | US
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Telephone | 407-359-5693
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Fax | 407-792-5693
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Provider Business Mailing Address
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Address Line | 2990 GRANDEVILLE CIR APT 114
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City | OVIEDO
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State | FL
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Zip | 32765-6070
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Country | US
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Telephone | 321-200-5731
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA 12737
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 20192
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License Number State | FL
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