Individual
DOUGLAS JOHN SOPHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
339 E JAMESTOWN RD, GREENVILLE, PA 16125-9206
(724) 588-7613
Mailing address
339 E JAMESTOWN RD, GREENVILLE, PA 16125-9206
(724) 588-7613
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP002439L
PA
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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