Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 5762 | NY |
NPI | 1083785505 |
---|---|
Provider Name | Ilanna Sue Schwalbe |
First Address | Greenwich, CT 06831-5151 |
Second Address | Greenwich, CT 06831-5151 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 30/03/2015 |