Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 005005-1 | NY |
N | 225XF0002X | Feeding, Eating & Swallowing | 005005-1 | NY |
N | 225XG0600X | Occupational Therapist - Gerontology | 005005-1 | NY |
N | 225XP0200X | Occupational Therapist - Pediatrics | 005005-1 | NY |
NPI | 1184860322 |
---|---|
Provider Name | Ms. Lorraine Putorti Ricci |
First Address | Red Hook, NY 12571-2101 |
Second Address | Red Hook, NY 12571-2101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/12/2008 |
Last Update Date | 17/12/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5901726 | LICENCEE/REGISTRATION (01) | NY |