Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 8344 | NC |
NPI | 1063768786 |
---|---|
Provider Name | Eva Resnick |
First Address | Durham, NC 27707-2517 |
Second Address | Durham, NC 27707-2517 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2012 |
Last Update Date | 31/07/2012 |