MEDICARE: SARAH THOMAS CPO

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	222Z00000X	Orthotist	CPO02562	VT
2	224P00000X	Prosthetist	CPO02562	VT

General Provider Information

NPI Number	:	1821697541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH THOMAS CPO

Provider Business Mailing Address
First Line	:	8A EWING PL
Second Line	:
City	:	ESSEX JUNCTION
State	:	VT
Zip	:	05452-2821
Country	:	US
Telephone Number	:	802-878-0930
Fax Number	:	802-876-5084

Provider Business Practice Location Address
First Line	:	8A EWING PL
Second Line	:
City	:	ESSEX JUNCTION
State	:	VT
Zip	:	05452-2821
Country	:	US
Telephone Number	:	802-878-0930
Fax Number	:	802-876-5084

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

Provider Enumeration Date	:	10/23/2020
Last Update Date	:	10/23/2020

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