Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 46TR00878200 | NJ |
NPI | 1205497286 |
---|---|
Provider Name | Ms. Katherine Marie Muentener |
First Address | High Bridge, NJ 08829-1317 |
Second Address | Morris Plains, NJ 07950-2860 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2019 |
Last Update Date | 21/06/2019 |