Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 003252-1 | NY |
NPI | 1003012923 |
---|---|
Provider Name | Mrs. Gail Irene Cutrone |
First Address | Poughkeepsie, NY 12603-6130 |
Second Address | Poughkeepsie, NY 12601-2005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2007 |
Last Update Date | 08/07/2007 |