Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 022316 | NY |
N | 225X00000X | Occupational Therapist | 022316-1 | NY |
N | 225XP0200X | Occupational Therapist - Pediatrics | 022316-1 | NY |
NPI | 1043714272 |
---|---|
Provider Name | Amanda Franco Bezerra-Richter |
First Address | New York, NY 10032-3720 |
Second Address | New York, NY 10032 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2018 |
Last Update Date | 30/07/2019 |