Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 008582-1 | NY |
N | 2251E1200X | Ergonomics | 008582-1 | NY |
N | 225XE1200X | Ergonomics | 008582-1 | NY |
N | 225XH1200X | Occupational Therapist - Hand | 008582-1 | NY |
NPI | 1275860041 |
---|---|
Provider Name | Ms. Courtney Rebecca Middleton |
First Address | Rochester, NY 14618-3818 |
Second Address | Farmington, NY 14425-1077 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2009 |
Last Update Date | 15/11/2009 |