Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 0126991 | NY |
N | 225XH1200X | Occupational Therapist - Hand | 0126991 | NY |
NPI | 1093831331 |
---|---|
Provider Name | Nicole Lynn Maher |
First Address | Silver Creek, NY 14136 |
Second Address | South Dayton, NY 14138-9633 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2007 |
Last Update Date | 01/10/2014 |