Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 005649 | NY |
NPI | 1063667640 |
---|---|
Provider Name | Margaret Boyd |
First Address | New York, NY 10003-6114 |
Second Address | New York, NY 10003-6114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2008 |
Last Update Date | 24/11/2008 |