Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 13670 | MA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 5463 | CT |
NPI | 1568074730 |
---|---|
Provider Name | Mrs. Mahdis Bikhof Torbaty |
First Address | Longmeadow, MA 01106-2727 |
Second Address | Longmeadow, MA 01106-2727 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2020 |
Last Update Date | 25/09/2020 |