Most Relevant Information
Provider Data
| NPI Number: | 1003421413 |
| Provider Name: | BERENICE MARIA SANSONE OTR |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 1923 |
Most Important Dates
| Enumeration Date: | 09/11/2020 |
| Last Updated: | 09/11/2020 |
Provider Practice Location
10418 TWISTING PINE LN
LAKELAND
TN
380024685
Practice Location Phone/Fax
| Phone: | 7315717810 |
| Fax: |
Provider Mailing Location
10418 TWISTING PINE LN
LAKELAND
TN
380024685
Provider Mailing Phone/Fax
| Phone: | 7315717810 |
| Fax: |