Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225CX0006X | Orientation and Mobility Training Provider |
NPI | 1972184844 |
---|---|
Provider Name | David John Zatowski |
First Address | Springfield, MA 01105-1930 |
Second Address | Springfield, MA 01105-1930 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2021 |
Last Update Date | 21/04/2021 |