Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 006658-1 | NY |
NPI | 1023309929 |
---|---|
Provider Name | Nancy Esses |
First Address | Goshen, NY 10924-6709 |
Second Address | Goshen, NY 10924-6709 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2011 |
Last Update Date | 26/04/2011 |