Individual
AMI KIM ISAKSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
252 ISLIP AVE, ISLIP, NY 11751-3029
(631) 581-6800
Mailing address
247 1ST AVE, SAINT JAMES, NY 11780-2630
(631) 553-5570
(631) 584-2462
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
008009-1
NY
Other
Enumeration date
02/21/2007
Last updated
09/25/2017
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