Sara Skidmore

NPI #1407954209 in Sullivan, Missouri

Provider Information

NPI Number: 1407954209
Entity Type: Individual
Name: Sara Skidmore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Sep 20, 2006
Last Updated: Dec 17, 2007

Practice Location

Address: 2022 PHOENIX DRIVE
City: Sullivan
State: Missouri
ZIP Code: 63080
Phone: (636) 239-9979

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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