Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 012011-1 | NY |
NPI | 1023188034 |
---|---|
Provider Name | Mrs. Deborah Elizabeth Orlando |
First Address | Binghamton, NY 13903-2260 |
Second Address | Johnson City, NY 13790-2105 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2006 |
Last Update Date | 08/07/2007 |