Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | ||
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 014189 | NY |
NPI | 1932316072 |
---|---|
Provider Name | Joanna Dobkowska |
First Address | Middle Village, NY 11379-1046 |
Second Address | Middle Village, NY 11379-1046 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 05/10/2021 |