Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 025042 | NY |
NPI | 1013510338 |
---|---|
Provider Name | Rachel Kaufman |
First Address | Flushing, NY 11367-2530 |
Second Address | Jamaica, NY 11432-2544 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2020 |
Last Update Date | 19/11/2020 |