Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 012968-1 | NY |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 012968-1 | NY |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 012968-1 | NY |
NPI | 1730499484 |
---|---|
Provider Name | Ms. Anita C Meli |
First Address | New Paltz, NY 12561-3231 |
Second Address | New Paltz, NY 12561-3231 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2010 |
Last Update Date | 15/10/2010 |