Individual
BERENICE MARIA SANSONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
10418 TWISTING PINE LN, LAKELAND, TN 38002-4685
(731) 571-7810
Mailing address
10418 TWISTING PINE LN, LAKELAND, TN 38002-4685
(731) 571-7810
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1923
TN
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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