Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 005993 | NY |
NPI | 1003440926 |
---|---|
Provider Name | Gail Griffiths |
First Address | Jamaica, NY 11434-4310 |
Second Address | Jamaica, NY 11434-4310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/02/2020 |
Last Update Date | 29/02/2020 |