Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 46TR00862100 | NJ |
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 023353 | NY |
NPI | 1255969978 |
---|---|
Provider Name | Courtney Marie Westermann |
First Address | Dumont, NJ 07628-2012 |
Second Address | Dumont, NJ 07628-2012 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2020 |
Last Update Date | 29/03/2020 |