Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAMIE SHANNON SOUTAR, PTA
Active Sole ProprietorOccupational Therapist · NEWARK, DE
Registration Details
- NPI Number
- 1295781243
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 25, 2006 (19.909994610254 yrs)
- Last Updated
- Jul 8, 2007
- License
-
J2-0000488 (DE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
130 EXECUTIVE DRNEWARK, DE, 197023349Browse DE providers · Browse ZIP 19702
- Phone
- 3022923454
- Fax
- 3022923464
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in NEWARK, DE
| Name | Credential | NPI |
|---|---|---|
| MR. DYLAND PASCUAL | — | 1366463010 |
| GRACE LLOYD | — | 1275677189 |
| HOLY BARBIERI | — | 1336283233 |
| MARCIA KISH | — | 1649314550 |
| ROBERT WILLIAM DICECCO | P.T.A. | 1780708990 |
| JASON CANTAGALLO | P.T. | 1346362324 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.