Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 006096-1 | NY |
NPI | 1023323987 |
---|---|
Provider Name | Ms. Catherine A. Ledwith |
First Address | West Nyack, NY 10994-1025 |
Second Address | West Nyack, NY 10994-1025 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2010 |
Last Update Date | 16/08/2010 |