Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 016583-1 | NY |
NPI | 1003125923 |
---|---|
Provider Name | Ms. Ryann M Scheele |
First Address | Henrietta, NY 14467-9218 |
Second Address | Rochester, NY 14623-3057 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2010 |
Last Update Date | 19/12/2012 |