Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 2674 | NY |
NPI | 1104908169 |
---|---|
Provider Name | Ms. Pamela Anita Lawton |
First Address | Brooklyn, NY 11201-4867 |
Second Address | Brooklyn, NY 11201-4867 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2006 |
Last Update Date | 08/07/2007 |