Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 025145 | NY |
N | 225XE0001X | Environmental Modification | ||
N | 225XE0001X | Environmental Modification | 025145 | NY |
N | 225XF0002X | Feeding, Eating & Swallowing | 025145 | NY |
N | 225XG0600X | Occupational Therapist - Gerontology | ||
N | 225XG0600X | Occupational Therapist - Gerontology | 025145 | NY |
N | 225XL0004X | Low Vision | 025145 | NY |
N | 225XM0800X | Mental Health | 025145 | NY |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | ||
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 025145 | NY |
N | 225XP0200X | Occupational Therapist - Pediatrics | 025145 | NY |
N | 225XR0403X | Driving and Community Mobility | 025145 | NY |
NPI | 1821681214 |
---|---|
Provider Name | Ms. Denevia Christian |
First Address | Brooklyn, NY 11236-4213 |
Second Address | Plainview, NY 11803-1707 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2021 |
Last Update Date | 16/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
025145 | (05) | NY |