Provider Demographics
NPI:1982268876
Name:SHERRER, SARA CATHALENE (REHAB DIRECTOR, COTA)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:CATHALENE
Last Name:SHERRER
Suffix:
Gender:F
Credentials:REHAB DIRECTOR, COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1829 TIMBER CREEK DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65202-1844
Mailing Address - Country:US
Mailing Address - Phone:660-591-2470
Mailing Address - Fax:
Practice Address - Street 1:1406 W BUSINESS LOOP 70
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65202-1324
Practice Address - Country:US
Practice Address - Phone:573-449-5287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013006594224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant