Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 008636-1 | NY |
NPI | 1023471109 |
---|---|
Provider Name | Lauren Battaglia |
First Address | Middletown, NY 10941 |
Second Address | Middletown, NY 10941 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2016 |
Last Update Date | 05/04/2016 |