Individual
MICHELE L SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
905 E MAIN ST, OLNEY, IL 62450-2623
(618) 393-7732
(618) 395-3123
Mailing address
905 E MAIN ST, OLNEY, IL 62450-2623
(618) 393-7732
(618) 395-3123
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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