Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 0119005418 | VA |
NPI | 1043508062 |
---|---|
Provider Name | Elizabeth Sarah Katz |
First Address | Springfield, VA 22150-1824 |
Second Address | Springfield, VA 22150-1824 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2011 |
Last Update Date | 11/07/2011 |