Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 018317-1 | NY |
N | 225XG0600X | Occupational Therapist - Gerontology | 018317-1 | NY |
NPI | 1740631837 |
---|---|
Provider Name | Kimberly Kuhnert |
First Address | Rocky Point, NY 11778-9676 |
Second Address | Rocky Point, NY 11778-9676 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2016 |
Last Update Date | 29/06/2016 |