Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 023271-1 | NY |
NPI | 1184264350 |
---|---|
Provider Name | Michaela Conway |
First Address | Saratoga Springs, NY 12866-3239 |
Second Address | Schenectady, NY 12308-2104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2020 |
Last Update Date | 15/01/2020 |