Individual
MS. JENNIFER MARY SOFIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
200 OLD FARMINGDALE RD, WEST BABYLON, NY 11704-6508
(631) 376-7000
Mailing address
169 N DELAWARE AVE, LINDENHURST, NY 11757-4145
(631) 807-4010
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006275-1
NY
Other
Enumeration date
02/05/2007
Last updated
05/05/2011
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