Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 224Z00000X | Occupational Therapy Assistant | 008710-1 | NY |
Y | 225X00000X | Occupational Therapist | 026298-1 | NY |
NPI | 1003265646 |
---|---|
Provider Name | Christina R Knitter |
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 | 04/06/2016 |
Last Update Date | 29/11/2021 |