Individual
MRS. RENEE FRANCES THORP-SUDOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8729 SUDAL HILL RD, BOONVILLE, NY 13309-4549
(315) 942-3197
(315) 942-3197
Mailing address
8729 SUDAL HILL RD, BOONVILLE, NY 13309-4549
(315) 942-3197
(315) 942-3197
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
012473-1
NY
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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