Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 018192 | NY |
N | 225XE0001X | Environmental Modification | 018192 | NY |
N | 2251E1200X | Ergonomics | 018192 | NY |
N | 225XE1200X | Ergonomics | 018192 | NY |
N | 2251H1300X | Human Factors | 018192 | NY |
N | 225XH1300X | Human Factors | 018192 | NY |
N | 225XM0800X | Mental Health | 018192 | NY |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 018192 | NJ |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 018192 | NY |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 018192 | NY |
NPI | 1285076604 |
---|---|
Provider Name | Haley Vinick |
First Address | West Orange, NJ 07052-2195 |
Second Address | West Orange, NJ 07052-2195 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2013 |
Last Update Date | 26/07/2013 |