Individual
ANJALI S SOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L SIPT CERTIFIED
Contact information
Practice address
1065 VINEHAVEN DR, CONCORD, NC 28025-2439
(704) 786-9181
Mailing address
1065 VINEHAVEN DR, CONCORD, NC 28025-2439
(704) 786-9181
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1998
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77556
BCBS
NC
Enumeration date
03/16/2007
Last updated
07/08/2007
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