Individual
MS. SARAH LYNN GOSNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1407 E PENNSYLVANIA AVE, URBANA, IL 61801-5322
(217) 722-2010
(217) 356-9851
Mailing address
1407 E PENNSYLVANIA AVE, URBANA, IL 61801-5322
(217) 722-2010
(217) 356-9851
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057003189
IL
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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