Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 009717 | CT |
Y | 2251G0304X | Physical Therapist - Geriatrics | 006158-1 | NY |
NPI | 1366837387 |
---|---|
Provider Name | Cindy Kabat |
First Address | Pound Ridge, NY 10576-1637 |
Second Address | Pound Ridge, NY 10576-1637 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2015 |
Last Update Date | 06/04/2015 |