Individual
MRS. ELIZABETH ASHLEY SANSONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5632 EDWARDS RANCH RD, FORT WORTH, TX 76109-4148
(817) 259-0600
Mailing address
5632 EDWARDS RANCH RD, FORT WORTH, TX 76109-4148
(817) 259-0600
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114619
TX
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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