Individual
MS. ANN-MARIE SOUCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1928
(631) 474-6267
(631) 476-7715
Mailing address
PO BOX 595, PORT JEFFERSON, NY 11777-0595
(631) 513-0539
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
012225
NY
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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