Sara Willine James, COTA/L

Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Rose Hill, KS

NPI 1568020394 · NPPES record last updated Jun 5, 2019

Key facts

NPI
1568020394
Entity type
Individual (NPI type 1)
Primary specialty
Physical Medicine & Rehabilitation Physician 208100000X
License
18-01164 (KS)
Practice address
601 N Rose Hill Rd
Rose Hill, KS 67133-9336
Phone
(316) 882-3719
NPI assigned
Jun 5, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
18-01164KSMDPhysical Medicine & Rehabilitation Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 18-01164 KS Yes

Addresses

Primary practice location

601 N Rose Hill Rd
Rose Hill, KS 67133-9336

Mailing address

120 E Lafayette St
Andover, KS 67002-9333
Phone (316) 882-3719

Other providers in Rose Hill, KS

All providers in Rose Hill, KS · Physical Medicine & Rehabilitation Physician in Kansas

Sources for this page

Verify at the official NPI Registry.