Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | ||
N | 225XN1300X | Occupational Therapist - Neurorehabilitation |
NPI | 1538370283 |
---|---|
Provider Name | Miss Patricia Kearney |
First Address | Rockville Centre, NY 11570-2341 |
Second Address | Manhasset, NY 11030-3006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 25/02/2008 |