Healthcare Provider Details

I. General information

NPI: 1699940510
Provider Name (Legal Business Name): MS. MARGARET ANN SOHAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2008
Last Update Date: 04/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 INSTITUTE LN # 10
N SCITUATE RI
02857-1424
US

IV. Provider business mailing address

29 INSTITUTE LN # 10
N SCITUATE RI
02857-1424
US

V. Phone/Fax

Practice location:
  • Phone: 401-301-2587
  • Fax:
Mailing address:
  • Phone: 401-301-2587
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberPT00115
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: