Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 46TR00116000 | NJ |
NPI | 1225127814 |
---|---|
Provider Name | Miss Abbe Dantzig |
First Address | Sewell, NJ 08080-2359 |
Second Address | Sewell, NJ 08080-2359 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 08/07/2007 |