Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 010695-1 | NY |
NPI | 1033353826 |
---|---|
Provider Name | Mrs. Kate Hoban Mitterway |
First Address | Belle Harbor, NY 11694-1524 |
Second Address | Belle Harbor, NY 11694-1524 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2009 |
Last Update Date | 24/04/2009 |