Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 004962-1 | NY |
NPI | 1003057340 |
---|---|
Provider Name | Gila J Kurtz |
First Address | Flushing, NY 11367-1928 |
Second Address | Flushing, NY 11367-1928 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2009 |
Last Update Date | 17/03/2009 |