Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 016987 | NY |
NPI | 1285910091 |
---|---|
Provider Name | Deborah Fromm |
First Address | Woodmere, NY 11598-2315 |
Second Address | New York, NY 10023-4902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2011 |
Last Update Date | 25/10/2011 |