| Doctor Name: | SARAH L KONZAK |
| NPI Number: | 1215070909 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR |
| License Number: | 3445-026 |
| Business Practice Address: | 511 S 6th St Cedar Grove, WI - 530131679 |
| Business Phone Number: | 9206686777 |
| Business Fax Number: | |
| Mailing Address: | 511 S 6th St, CEDAR GROVE |
| State: | WI |
| Postal Code: | 530131679 |
| Phone Number: | 9206686777 |
| Fax Number: | |
| NPI Enumeration Date: | 02/14/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | 3445-026 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |