Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 46TR00882100 | NJ |
NPI | 1003489055 |
---|---|
Provider Name | Mrs. Brianne Michelle Larkin |
First Address | Robbinsville, NJ 08691-3030 |
Second Address | Brick, NJ 08723-6238 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2021 |
Last Update Date | 19/07/2021 |