Sara Ann Alfson, COTA
Individual provider Active NPI Occupational Therapy Assistant · Manitowoc, WI
NPI 1790907178 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1790907178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 2042-027 (WI)
- Practice address
- 1235 S 24TH St
Manitowoc, WI 54220-5516 - Phone
- (920) 646-0009
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2042-027 | WI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2042-027 | WI | Yes |
Addresses
Primary practice location
1235 S 24TH St
Manitowoc, WI 54220-5516
Mailing address
1003 Frost Rd
Apt. 7
Howards Grove, WI 53083-5702
Phone (920) 646-0009
Other providers in Manitowoc, WI
- Advanced Orthopaedic Physical Therapy, LLC
- Advanced Rehabilitation Center
- Suraiya Afroz
- Ashley Alberts
- Olivia C. Alexander
- Align Chiropractic & Wellness LLC
- Jeffrey S Allen
- Malaysia Shanae Allen
- Allison-Zak LLC
- Douglas P Allison
All providers in Manitowoc, WI · Occupational Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.