Individual
ALLISON RENEE SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
303 W COURT ST STE 101, JANESVILLE, WI 53548-3865
(608) 563-0113
(608) 563-0220
Mailing address
303 W COURT ST STE 101, JANESVILLE, WI 53548-3865
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
224Z00000X
Occupational Therapy Assistant
057.005764
IL
224Z00000X
Occupational Therapy Assistant
Primary
5857-27
WI
Other
Enumeration date
07/17/2017
Last updated
09/23/2025
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