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Individual

WENDY S SAGONA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
5810 FOREST TRAIL DR, ROCKFORD, IL 61109-6527
(815) 218-6935
(815) 874-3969
Mailing address
5810 FOREST TRAIL DR, ROCKFORD, IL 61109-6527
(815) 218-6935
(815) 874-3969

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056001942
IL

Other

Enumeration date
12/29/2009
Last updated
12/29/2009
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