Individual
BRIANNA LASAPONARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3923 N OTTAWA AVE, CHICAGO, IL 60634-2128
(773) 425-5483
Mailing address
3923 N OTTAWA AVE, CHICAGO, IL 60634-2128
(773) 425-5483
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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