Individual
MICHELLE SOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
973 CARMEN RD, SUGAR GROVE, IL 60554-9822
(872) 588-2903
Mailing address
973 CARMEN RD, SUGAR GROVE, IL 60554-9822
(872) 588-2903
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.007586
IL
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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