Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 00TR002348 | NJ |
N | 225XG0600X | Occupational Therapist - Gerontology | OOTR002348 | NJ |
NPI | 1205232212 |
---|---|
Provider Name | Karen Jean Rymon |
First Address | Oxford, NJ 07863 |
Second Address | Oxford, NJ 07863-3224 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2014 |
Last Update Date | 18/11/2014 |