Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XH1200X | Occupational Therapist - Hand | NY | |
Y | 225XP0200X | Occupational Therapist - Pediatrics | NY |
NPI | 1215329669 |
---|---|
Provider Name | Christina Becker |
First Address | New City, NY 10956-3340 |
Second Address | New City, NY 10956-3340 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2015 |
Last Update Date | 23/02/2015 |