Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 003216-1 | NY |
NPI | 1023309457 |
---|---|
Provider Name | Mrs. Janet Marie Nadolny |
First Address | Hamburg, NY 14075-4614 |
Second Address | East Amherst, NY 14051-2224 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2011 |
Last Update Date | 19/04/2011 |