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NPI Code Detail

MEDICARE: SARA L KRAUSE OTR

MEDICARE: SARA L KRAUSE 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
1172V00000XCommunity Health Worker3175-026WI
2225X00000XOccupational Therapist3175-26WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437326063
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA L KRAUSE OTR
Provider Business Mailing Address
First Line : 224 MUIRFIELD CT
Second Line :
City : NORTH PRAIRIE
State : WI
Zip : 53153-9617
Country : US
Telephone Number : 414-379-2777
Fax Number :
Provider Business Practice Location Address
First Line : 3271 NORTH ST
Second Line :
City : EAST TROY
State : WI
Zip : 53120-1147
Country : US
Telephone Number : 262-642-3995
Fax Number : 262-642-3930
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2008
Last Update Date : 03/19/2015

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