Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 010742 | NY |
NPI | 1215241195 |
---|---|
Provider Name | Caroline P Seus |
First Address | Hauppauge, NY 11788 |
Second Address | Hauppauge, NY 11788-2624 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2010 |
Last Update Date | 03/08/2010 |