Individual
ANNE M MIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5355 W TAFT RD, NORTH SYRACUSE, NY 13212-2767
(315) 218-2100
Mailing address
5355 W TAFT RD, NORTH SYRACUSE, NY 13212-2767
(315) 218-2100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
006854-1
NY
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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