SONNY BAGBY

Occupational Therapy Assistant

Active Individual
NPI: 1063156677

Practice Address

440 TATHAM LN
Vienna, IL 62995

Phone: (618) 771-2648

Specialties

Specialty Code Primary License
Occupational Therapy Assistant 224Z00000X Yes 057003475 (IL)

Frequently Asked Questions

NPI 1063156677 is the National Provider Identifier for SONNY BAGBY, a Occupational Therapy Assistant provider located in Vienna, IL. This NPI was enumerated on April 21, 2022.
SONNY BAGBY practices at 440 TATHAM LN, Vienna, IL 62995.

Quick Facts

NPI
1063156677
Type
Individual
Enumerated
Apr 21, 2022
Last Updated
Apr 21, 2022

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