Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 034223-1 | NY |
NPI | 1063795987 |
---|---|
Provider Name | Lauren Marie Orleman |
First Address | Staten Island, NY 10314-6612 |
Second Address | Staten Island, NY 10314-6612 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2011 |
Last Update Date | 27/09/2011 |