Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | OT 14730 | FL |
NPI | 1023319431 |
---|---|
Provider Name | Mrs. Yael Karin Glukman |
First Address | Plantation, FL 33317-1608 |
Second Address | Plantation, FL 33317-1608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2010 |
Last Update Date | 23/09/2011 |