Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225700000X | Massage Therapist | 025067-1 | NY |
Y | 225X00000X | Occupational Therapist | 019705-1 | NY |
N | 225XE0001X | Environmental Modification | 019705-1 | NY |
N | 2251E1200X | Ergonomics | 019705-1 | NY |
N | 225XE1200X | Ergonomics | 019705-1 | NY |
N | 225XF0002X | Feeding, Eating & Swallowing | 019705-1 | NY |
N | 225XG0600X | Occupational Therapist - Gerontology | 019705-1 | NY |
N | 225XH1200X | Occupational Therapist - Hand | 019705-1 | NY |
N | 2251H1300X | Human Factors | 019705-1 | NY |
N | 225XH1300X | Human Factors | 019705-1 | NY |
N | 225XL0004X | Low Vision | 019705-1 | NY |
N | 225XM0800X | Mental Health | 019705-1 | NY |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 019705-1 | NY |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 019705-1 | NY |
N | 225XP0200X | Occupational Therapist - Pediatrics | 019705-1 | NY |
N | 225XR0403X | Driving and Community Mobility | 019705-1 | NY |
NPI | 1730551284 |
---|---|
Provider Name | Alicia Hendrie |
First Address | Brooklyn, NY 11234-4340 |
Second Address | Brooklyn, NY 11234-4340 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2015 |
Last Update Date | 23/10/2015 |