Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 009552-1 | NY |
NPI | 1275170748 |
---|---|
Provider Name | Dana C Emery |
First Address | Rochester, NY 14618 |
Second Address | Rochester, NY 14618 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2019 |
Last Update Date | 04/12/2019 |