Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 005639-1 | NY |
NPI | 1194837674 |
---|---|
Provider Name | Karen Wurzer |
First Address | Carle Place, NY 11514-1604 |
Second Address | Carle Place, NY 11514-1604 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 05/10/2007 |