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Contact Information

SARA I HUSBY, COTA/L
815 FOREST AVE
NORTHFIELD, MN55057-1643
 Phone: 507-664-8800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for SARA I HUSBY · (Female)

NPI Number 1295965846
Status Active
Credentials COTA/L (Licensed Certified Occupational Therapy Assistant )
Entity Individual
Enumeration date 07/16/2009
Last updated 07/16/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 201299
  • MN Medicaid 201299
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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