Tina L. Soukup, OT

NPI #1124339205 in Mentor, Ohio

Provider Information

NPI Number: 1124339205
Entity Type: Individual
Name: Tina L. Soukup, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Jun 23, 2010
Last Updated: May 2, 2014

Practice Location

Address: 6451 CENTER ST
City: Mentor
State: Ohio
ZIP Code: 44060-4109
Phone: (440) 255-4444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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