Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 08886 | MD |
NPI | 1003452228 |
---|---|
Provider Name | Bryn Yurick |
First Address | Cherry Hill, NJ 08003-1000 |
Second Address | Baltimore, MD 21212-1010 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2019 |
Last Update Date | 22/11/2019 |