Individual
COURTNEE RYEN SANSONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 N MARKET ST, BRIGHTON, IL 62012-1346
(618) 407-8873
Mailing address
301 N MARKET ST, BRIGHTON, IL 62012-1346
(618) 407-8873
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005580
IL
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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