Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 008258-1 | NY |
NPI | 1225520778 |
---|---|
Provider Name | Janet Craft |
First Address | Buffalo, NY 14223-1407 |
Second Address | Buffalo, NY 14223-1407 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2018 |
Last Update Date | 31/05/2018 |