Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 009554-1 | NY |
NPI | 1003129081 |
---|---|
Provider Name | Rachel Africk |
First Address | Waccabuc, NY 10597-1016 |
Second Address | Waccabuc, NY 10597-1016 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2010 |
Last Update Date | 20/07/2010 |