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NPI Code Detail

MEDICARE: STEPHANIE SOKUL OT

MEDICARE:   STEPHANIE  SOKUL  OT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational TherapistOT1944ME

General Provider Information

NPI Number : 1427103191
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE SOKUL OT
Provider Business Mailing Address
First Line : 197 PINE ST APT 36
Second Line :
City : PORTLAND
State : ME
Zip : 04102-3535
Country : US
Telephone Number : 207-829-8007
Fax Number : 207-829-8008
Provider Business Practice Location Address
First Line : 85 MIDDLE RD
Second Line :
City : CUMBERLAND
State : ME
Zip : 04021-3707
Country : US
Telephone Number : 207-829-8007
Fax Number : 207-829-8008
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 07/09/2007

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Directions to “ STEPHANIE SOKUL OT” Practice Location

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