Sophia Anneza Tasoulis
Occupational Therapist - Physical Rehabilitation
101 E State St
Kennett Square
, Pennsylvania 19348-3109
Sophia Anneza Tasoulis
Occupational Therapist - Physical Rehabilitation
101 E State St
Kennett Square
, Pennsylvania 19348-3109
(410) 923-0187
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About
Features
Specialties
- Occupational Therapist - Physical Rehabilitation
Languages spoken
- English
Location
First Address
- Sophia Anneza Tasoulis
- 744 N Riverside Dr
- Crownsville, MD
- Zip : 21032-1709
- Phone : (410) 923-0187
Second Address
- Sophia Anneza Tasoulis
- 101 E State St
- Kennett Square, PA
- Zip : 19348-3109
- Phone : (610) 444-6350
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 02830 | MD |
National Provider Identifier
| NPI | 1104120922 |
|---|---|
| Provider Name | Sophia Anneza Tasoulis |
| First Address | Crownsville, MD 21032-1709 |
| Second Address | Kennett Square, PA 19348-3109 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/01/2011 |
| Last Update Date | 09/01/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.