Individual
JACLYN E SANSONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
65 WALNUT ST, SUITE # 370, WELLESLEY, MA 02481-2118
(413) 478-7019
Mailing address
101 BROOKSIDE RD, WELLESLEY, MA 02481-6833
(413) 478-7019
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8127
MA
Other
Enumeration date
12/15/2005
Last updated
06/06/2011
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