Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 0638 | PR |
N | 2251E1200X | Ergonomics | 0638 | PR |
N | 225XE1200X | Ergonomics | 0638 | PR |
N | 225XH1200X | Occupational Therapist - Hand | 0638 | PR |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 0638 | PR |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 0638 | PR |
NPI | 1245895978 |
---|---|
Provider Name | Mrs. Carmen Alicia Fermaint |
First Address | Arecibo, PR 00614-2004 |
Second Address | Manati, PR 00674 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2019 |
Last Update Date | 08/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100004397 | CFSE (01) | PR |