Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 010157-1 | NY |
N | 225X00000X | Occupational Therapist | 46TR00125400 | NJ |
N | 225X00000X | Occupational Therapist | OC014879 | PA |
N | 225XH1200X | Occupational Therapist - Hand | 1061100753 |
NPI | 1235352584 |
---|---|
Provider Name | Karina Manzano |
First Address | Melville, NY 11747-5002 |
Second Address | New Rochelle, NY 10801-4465 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2007 |
Last Update Date | 15/10/2018 |