Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 004983-1 | NY |
NPI | 1013228576 |
---|---|
Provider Name | Mrs. Nancy Aten |
First Address | Adams Center, NY 13606-2100 |
Second Address | Watertown, NY 13601-5048 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2010 |
Last Update Date | 29/06/2010 |