MR. Al D. Anson III, M.S.,OTR,P.C.

NPI #1750416442 in Wheatley Heights, New York

Provider Information

NPI Number: 1750416442
Entity Type: Individual
Name: MR. Al D. Anson III, M.S.,OTR,P.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: M.S.,OTR,P.C.
Enumeration Date: Feb 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 14 BRISTOL CT
City: Wheatley Heights
State: New York
ZIP Code: 11798-1502
Phone: (631) 254-6504

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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