Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XG0600X | Occupational Therapist - Gerontology | 005628-1 | NY |
Y | 225XH1200X | Occupational Therapist - Hand | 005628-1 | NY |
NPI | 1013104678 |
---|---|
Provider Name | Michele Marina Puplampu |
First Address | New York, NY 10022-2102 |
Second Address | New York, NY 10022-2102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2007 |
Last Update Date | 13/03/2015 |