Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 002562-1 | NY |
N | 225XH1200X | Occupational Therapist - Hand | 002562-1 | NY |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 002562-1 | NY |
NPI | 1407070626 |
---|---|
Provider Name | Ms. Ann Riker Inoue |
First Address | Patchogue, NY 11772-4808 |
Second Address | Patchogue, NY 11772-4808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2007 |
Last Update Date | 28/08/2008 |