Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sonny Yevon Bagby

Individual provider Occupational Therapy Assistant · NPI 1063156677

Sonny Yevon Bagby is an Occupational Therapy Assistant in Vienna, Illinois. Licensed in Illinois. Registered with an NPI since 2022.

Licensed in
IL
In the registry since
2022
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Practice location Address checks out

440 Tatham Ln
Vienna, IL 62995-2828
Phone: (618) 771-2648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 057003475 (IL)

Record details

NPI number1063156677
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 21, 2022
Last updated in NPPESApril 21, 2022
Certification dateApril 21, 2022

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