MEDICARE: MRS. SARAH OCHS

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	235Z00000X	Speech-Language Pathologist	SP#P8076	AR

General Provider Information

NPI Number	:	1790968212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH OCHS

Provider Business Mailing Address
First Line	:	PO BOX 375
Second Line	:
City	:	JUNCTION CITY
State	:	AR
Zip	:	71749-0375
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	402 NORTH MYRTLE STREET
Second Line	:
City	:	JUNCTION CITY
State	:	AR
Zip	:	71749
Country	:	US
Telephone Number	:	870-924-4014
Fax Number	:

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

Provider Enumeration Date	:	12/06/2007
Last Update Date	:	02/05/2008

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Directions to “ MRS. SARAH OCHS ” Practice Location

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