Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 007223 | NY |
NPI | 1285781245 |
---|---|
Provider Name | Mrs. Lynn M Festa |
First Address | Syracuse, NY 13205 |
Second Address | Syracuse, NY 13205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 08/07/2007 |