Individual
SHANNAN KATHLEEN SARPY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2909 139TH PL, BLUE ISLAND, IL 60406-3305
(708) 296-8702
Mailing address
2909 139TH PL, BLUE ISLAND, IL 60406-3305
(708) 296-8702
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004476
IL
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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