Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist |
NPI | 1699385609 |
---|---|
Provider Name | Ms. Valerie E Lopata |
First Address | Whitesboro, NY 13492-2811 |
Second Address | Utica, NY 13501-6230 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2020 |
Last Update Date | 04/08/2020 |