Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 018559 | NY |
N | 225XG0600X | Occupational Therapist - Gerontology | 46TR00641900 | NJ |
N | 225XP0200X | Occupational Therapist - Pediatrics | 018559 | NY |
NPI | 1053789479 |
---|---|
Provider Name | Mrs. Julinnis Morales |
First Address | Stony Point, NY 10980 |
Second Address | Mount Vernon, NY 10552 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2015 |
Last Update Date | 09/11/2018 |