Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 46TR00993500 | NJ |
NPI | 1912658303 |
---|---|
Provider Name | Christine Sroka |
First Address | Allentown, PA 18104-8210 |
Second Address | Phillipsburg, NJ 08865-2748 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2022 |
Last Update Date | 17/01/2022 |