Provider Demographics
NPI:1336536903
Name:SESSELMANN, ALYSE (MS OTR/L)
Entity Type:Individual
Prefix:
First Name:ALYSE
Middle Name:
Last Name:SESSELMANN
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1739 N. ELSTON AVE.
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60642-1544
Mailing Address - Country:US
Mailing Address - Phone:773-672-7775
Mailing Address - Fax:773-305-5543
Practice Address - Street 1:1739 N. ELSTON AVE.
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60642-1544
Practice Address - Country:US
Practice Address - Phone:773-672-7775
Practice Address - Fax:773-305-5543
Is Sole Proprietor?:No
Enumeration Date:2015-04-22
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.010997225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics