Individual
MS. SUSAN D'OTTILLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
95 BRADHURST AVE, PT DEPARTMENT, VALHALLA, NY 10595-1637
(914) 592-7138
(914) 592-0712
Mailing address
6 ROBINSWOOD LN, SOUTH SALEM, NY 10590-2615
(914) 533-6773
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
09649-1
NY
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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