Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 0385811 | NY |
NPI | 1134516867 |
---|---|
Provider Name | Ms. Brandii Marie Taper |
First Address | New York, NY 10002-3301 |
Second Address | New York, NY 10002-3301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2015 |
Last Update Date | 21/04/2015 |