Provider Demographics
NPI:1689960072
Name:KRAUSE, SARA EVE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:EVE
Last Name:KRAUSE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 EVERGREEN DR
Mailing Address - Street 2:
Mailing Address - City:BOW
Mailing Address - State:NH
Mailing Address - Zip Code:03304-4615
Mailing Address - Country:US
Mailing Address - Phone:603-225-9809
Mailing Address - Fax:
Practice Address - Street 1:6 DIXON AVE
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-4944
Practice Address - Country:US
Practice Address - Phone:603-224-1551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1589225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist