Provider Demographics
NPI:1871356170
Name:PLUM, SARA CAITLIN (OT)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:CAITLIN
Last Name:PLUM
Suffix:
Gender:F
Credentials:OT
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Mailing Address - Street 1:450 NEW MARKET BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-5501
Mailing Address - Country:US
Mailing Address - Phone:828-355-9584
Mailing Address - Fax:828-355-9689
Practice Address - Street 1:1810 N BRIDGE ST STE 101
Practice Address - Street 2:
Practice Address - City:ELKIN
Practice Address - State:NC
Practice Address - Zip Code:28621-2164
Practice Address - Country:US
Practice Address - Phone:828-355-9584
Practice Address - Fax:828-355-9689
Is Sole Proprietor?:No
Enumeration Date:2024-01-31
Last Update Date:2024-09-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VT072.0134216225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist