Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 0119007514 | VA |
NPI | 1003315557 |
---|---|
Provider Name | Danielle Rose Weinstein |
First Address | Yorktown, VA 23692-2716 |
Second Address | Yorktown, VA 23692-2716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2018 |
Last Update Date | 09/02/2018 |