Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 001518 | NY |
NPI | 1164520268 |
---|---|
Provider Name | Barbara Joyce Onderdonk |
First Address | Northport, NY 11768-2200 |
Second Address | Northport, NY 11768-2200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 16/07/2007 |