Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 011849-1 | NY |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 011849-1 | NY |
NPI | 1619259660 |
---|---|
Provider Name | Mrs. Caroline Arbogast |
First Address | Binghamton, NY 13901-6011 |
Second Address | Binghamton, NY 13903-1617 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2011 |
Last Update Date | 15/09/2011 |