Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | ||
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 017101-1 | NY |
NPI | 1790249886 |
---|---|
Provider Name | Mrs. Kaitlin Gaita |
First Address | West Haverstraw, NY 10993-1195 |
Second Address | West Haverstraw, NY 10993-1195 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2019 |
Last Update Date | 23/01/2019 |