Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist |
NPI | 1003579038 |
---|---|
Provider Name | Kristina Schuler |
First Address | Liverpool, NY 13088-5482 |
Second Address | Syracuse, NY 13205-2548 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2021 |
Last Update Date | 17/10/2021 |