Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 0175811 | NY |
NPI | 1356785802 |
---|---|
Provider Name | Miss Stella Ann Sinclair |
First Address | South Richmond Hill, NY 11419-1237 |
Second Address | South Richmond Hill, NY 11419-1237 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2013 |
Last Update Date | 25/04/2013 |