Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 009048 | NY |
NPI | 1023563046 |
---|---|
Provider Name | Li Zhou |
First Address | Woodside, NY 11377 |
Second Address | Woodside, NY 11377-5054 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2016 |
Last Update Date | 12/04/2017 |