Individual
ANTOINE FREDERIC VALCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1842 E JERICHO TPKE UNIT P, HUNTINGTON, NY 11743-5796
(631) 486-7900
(631) 938-0739
Mailing address
212 OLD COUNTRY RD, DEER PARK, NY 11729-1922
(806) 290-1172
(631) 938-0739
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
116483
TX
Other
Enumeration date
10/01/2015
Last updated
11/30/2022
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