MEDICARE: MRS. SARAH ELIZABETH REFFETT 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	31004793A	IN

General Provider Information

NPI Number	:	1467778506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH ELIZABETH REFFETT OTR

Provider Business Mailing Address
First Line	:	723 S LOMBARD AVE
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47714-0426
Country	:	US
Telephone Number	:	812-760-5831
Fax Number	:

Provider Business Practice Location Address
First Line	:	1250 MAIN ST
Second Line	:	1282
City	:	MOUNT VERNON
State	:	IN
Zip	:	47620-1365
Country	:	US
Telephone Number	:	812-307-1089
Fax Number	:	812-307-1177

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

Provider Enumeration Date	:	04/14/2010
Last Update Date	:	07/21/2022

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