Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 001296-1 | NY |
NPI | 1023449907 |
---|---|
Provider Name | Donna Pflieger |
First Address | Utica, NY 13501-1930 |
Second Address | Utica, NY 13501-5405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2013 |
Last Update Date | 03/12/2013 |