Sara Rearden
Speech-Language Pathologist, in Bartonville, IL. Individual provider (NPI-1).
NPI number1053965517
StatusActive
Last updated in NPPESAug 1, 2019
Details
- NPI
- 1053965517
- Entity type
- Individual (NPI-1)
- Name
- Sara Rearden
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2019
- Last updated
- Aug 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 146014907 | IL | Yes |
Practice location
4812 W. Pfeiffer RoadBartonville, IL 61607
Phone 309-697-0880
Mailing address
1006 Irene St.Pekin, IL 61554
Phone 309-642-8860
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