Doctor Name: | SARAH STUTZ |
NPI Number: | 1972905420 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L |
License Number: | 104705 |
Business Practice Address: | 13609 California St Suite 200 Omaha, NE - 681545260 |
Business Phone Number: | 4028911118 |
Business Fax Number: | |
Mailing Address: | 1804 50th St S, FARGO |
State: | ND |
Postal Code: | 581037742 |
Phone Number: | 7012152201 |
Fax Number: | |
NPI Enumeration Date: | 09/16/2014 |
NPI Last Update Date: | 09/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 104705 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |