Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 017125-1 | NY |
NPI | 1033488028 |
---|---|
Provider Name | Mrs. Anna Slobodyansky |
First Address | Brooklyn, NY 11224-3425 |
Second Address | Brooklyn, NY 11224-3425 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2011 |
Last Update Date | 20/12/2011 |