Individual
TORI KAY SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
516 W FRECH ST, STREATOR, IL 61364-1216
(815) 672-2600
Mailing address
1610 MULBERRY ST, OTTAWA, IL 61350-1334
(815) 830-0567
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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