Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 012969 | NY |
NPI | 1194114983 |
---|---|
Provider Name | Frances Lodato |
First Address | East Meadow, NY 11554-5116 |
Second Address | East Meadow, NY 11554-5116 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2015 |
Last Update Date | 15/01/2015 |