Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XG0600X | Occupational Therapist - Gerontology | 3557 | NY |
N | 225XH1200X | Occupational Therapist - Hand | 3557 | NY |
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 3557 | NY |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 3557 | NY |
NPI | 1679887640 |
---|---|
Provider Name | Mrs. Joyce Alice Kopelman |
First Address | Boynton Beach, FL 33473-4975 |
Second Address | Boynton Beach, FL 33473-4975 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2010 |
Last Update Date | 07/09/2016 |