Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 027349-1 | NY |
NPI | 1043419146 |
---|---|
Provider Name | Ms. Kathryn Sturek |
First Address | Johnson City, NY 13790-2106 |
Second Address | Johnson City, NY 13790-2106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2007 |
Last Update Date | 24/02/2016 |