Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 015688 | NY |
NPI | 1013147677 |
---|---|
Provider Name | Mrs. Alison Renee Thompson |
First Address | Tarrytown, NY 10591-4013 |
Second Address | South Yonkers, NY 10701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2009 |
Last Update Date | 02/11/2012 |