Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 008711-1 | NY |
NPI | 1003274549 |
---|---|
Provider Name | Mrs. Julie Quinn |
First Address | Pearl River, NY 10965-1164 |
Second Address | Yonkers, NY 10701-1002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2016 |
Last Update Date | 28/01/2016 |