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NPI Code Detail

MEDICARE: SARA JO HUNT OTR/L, ATC

MEDICARE: SARA JO HUNT OTR/L, ATC
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
1225X00000XOccupational Therapist3783CO
22255A2300XAthletic Trainer24-00725KS
3225X00000XOccupational Therapist19474CA
4225X00000XOccupational Therapist105296MN

General Provider Information

NPI Number : 1578894218
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA JO HUNT OTR/L, ATC
Provider Business Mailing Address
First Line : PO BOX 69
Second Line :
City : MERRIFIELD
State : MN
Zip : 56465-0069
Country : US
Telephone Number : 970-846-9121
Fax Number :
Provider Business Practice Location Address
First Line : 804 WRIGHT ST
Second Line :
City : BRAINERD
State : MN
Zip : 56401-4441
Country : US
Telephone Number : 218-522-8288
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2010
Last Update Date : 04/29/2025

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