Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 005268 | NY |
NPI | 1023262433 |
---|---|
Provider Name | Mrs. Barbara E Donleavy-Hiller |
First Address | Rivervale, NJ 07675-6425 |
Second Address | Rivervale, NJ 07675-6425 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2008 |
Last Update Date | 11/06/2012 |