Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 015426-1 | NY |
NPI | 1659638146 |
---|---|
Provider Name | Aura Weltman |
First Address | New York, NY 10040-3846 |
Second Address | New York, NY 10040-3846 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2012 |
Last Update Date | 20/04/2012 |