Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 01562 | IA |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 01562 | IA |
NPI | 1316416944 |
---|---|
Provider Name | Sarah Elizabeth Schaller |
First Address | Eldridge, IA 52748-1229 |
Second Address | Eldridge, IA 52748-1229 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2018 |
Last Update Date | 13/11/2018 |