Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XE0001X | Environmental Modification | 003919 | NY |
N | 2251E1200X | Ergonomics | 003919 | NY |
N | 225XE1200X | Ergonomics | 003919 | NY |
N | 225XF0002X | Feeding, Eating & Swallowing | 003919 | NY |
N | 225XG0600X | Occupational Therapist - Gerontology | 003919 | NY |
N | 225XH1200X | Occupational Therapist - Hand | 003919 | NY |
N | 225XL0004X | Low Vision | 003919 | NY |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 003919 | NY |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 003919 | NY |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 003919 | NY |
NPI | 1952547929 |
---|---|
Provider Name | Mrs. Patricia Unita Burkett-Fung |
First Address | Brooklyn, NY 11210-3276 |
Second Address | Brooklyn, NY 11210-3276 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2008 |
Last Update Date | 22/12/2008 |