Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | OC006512L | PA |
N | 225XP0200X | Occupational Therapist - Pediatrics | OC006512L | PA |
NPI | 1023163722 |
---|---|
Provider Name | Mrs. Cynthia Marie Duffy |
First Address | Honesdale, PA 18431-1401 |
Second Address | Honesdale, PA 18431-1401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2007 |
Last Update Date | 08/07/2007 |