Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 005736-1 | NY |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 005736-1 | NY |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 005736-1 | NY |
N | 225XP0200X | Occupational Therapist - Pediatrics | 005736-1 | NY |
NPI | 1962715581 |
---|---|
Provider Name | Mr. David Dennis Mcdonald |
First Address | Dingmans Ferry, PA 18328-4006 |
Second Address | Dingmans Ferry, PA 18328-4006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2010 |
Last Update Date | 24/07/2010 |