Individual
KELLY DENISE SORNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3351 HOBSON RD, WOODRIDGE, IL 60517-1665
(630) 541-3652
Mailing address
1581 PATTERSON AVE, NORTH AURORA, IL 60542-8966
(630) 907-0631
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056005400
IL
225XP0200X
Pediatric Occupational Therapist
056005400
IL
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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