Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 008536-1 | NY |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 008536-1 | NY |
N | 225XP0200X | Occupational Therapist - Pediatrics | 008536-1 | NY |
NPI | 1225275878 |
---|---|
Provider Name | Evelyn Guttmann |
First Address | Brooklyn, NY 11204-2144 |
Second Address | Brooklyn, NY 11204-2144 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2009 |
Last Update Date | 18/01/2009 |