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Contact Information

SARA SKIDMORE
2022 PHOENIX DRIVE
SULLIVAN, MO63080
 Phone: 636-239-9979
 Fax: 636-239-5442
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for SARA SKIDMORE · (Female)

NPI # 1407954209
Status Active
Credentials
Entity Individual
Enumeration date 09/20/2006
Last updated 12/17/2007 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 004800
  • MO Other P00422912 PALMETTO GBA
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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