Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 009093-1 | NY |
NPI | 1174757058 |
---|---|
Provider Name | Karin Rachael Lipke |
First Address | Kingston, NY 12401-2975 |
Second Address | Poughkeepsie, NY 12601-6027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2009 |
Last Update Date | 22/01/2020 |