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Contact Information

SARAH CROCKETT, COTAL
8 CARMELITA DRIVE
EAST ALTON, IL62024
 Phone: 618-259-3218
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for SARAH CROCKETT · (Female)

NPI # 1386769255
Status Active
Credentials COTAL
Entity Individual
Enumeration date 03/20/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2005013219
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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