Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 014697-1 | NY |
NPI | 1023252673 |
---|---|
Provider Name | Arlene C Labeste |
First Address | Apo, AE 09180 |
Second Address | Apo, AE 09180 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2009 |
Last Update Date | 26/11/2012 |