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Individual

ANGELA SISSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1513 DEKALB AVE, SYCAMORE, IL 60178-2703
(815) 758-0000
(815) 991-9484
Mailing address
1952 ABERDEEN CT, SYCAMORE, IL 60178-3175
(815) 758-0000
(815) 991-2681

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
160004254
IL
224Z00000X
Occupational Therapy Assistant
160-004254
IL

Other

Enumeration date
03/21/2013
Last updated
03/17/2018
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