Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225CX0006X | Orientation and Mobility Training Provider | 5737 |
NPI | 1164705190 |
---|---|
Provider Name | Lindsay Jean Orcutt |
First Address | Brooklyn, NY 11232-1027 |
Second Address | Brooklyn, NY 11232-1027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2011 |
Last Update Date | 26/09/2011 |