Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 46TR00992000 | NJ |
NPI | 1285200469 |
---|---|
Provider Name | Hana Motoki |
First Address | Cresskill, NJ 07626-2536 |
Second Address | Morristown, NJ 07960-7330 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2021 |
Last Update Date | 28/05/2021 |