Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 005217-1 | NY |
NPI | 1013161751 |
---|---|
Provider Name | Ms. Jody L. Satriani |
First Address | Saugerties, NY 12477-1401 |
Second Address | Saugerties, NY 12477-1401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2008 |
Last Update Date | 07/11/2008 |