Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 014365 | NY |
N | 225XE0001X | Environmental Modification | ||
N | 225XH1200X | Occupational Therapist - Hand | ||
N | 225XL0004X | Low Vision | ||
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | ||
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | ||
N | 225XP0200X | Occupational Therapist - Pediatrics | 63014365 | NY |
NPI | 1669771135 |
---|---|
Provider Name | Mrs. Marie Catherine Conmy |
First Address | Franklin Lakes, NJ 07417-1379 |
Second Address | Franklin Lakes, NJ 07417-1379 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2011 |
Last Update Date | 07/01/2020 |