Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 017855-1 | NY |
NPI | 1003156969 |
---|---|
Provider Name | Le'ann Huggins |
First Address | Brooklyn, NY 11229-5701 |
Second Address | Brooklyn, NY 11229-5701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2013 |
Last Update Date | 26/06/2014 |