Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | ||
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 08611-1 | NY |
NPI | 1295227734 |
---|---|
Provider Name | James Patrick Orrange |
First Address | Tonawanda, NY 14223-1407 |
Second Address | Tonawanda, NY 14223-1407 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2018 |
Last Update Date | 31/05/2018 |