Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 002226-1 | NY |
NPI | 1053558320 |
---|---|
Provider Name | Rochelle Adler |
First Address | Far Rockaway, NY 11691-1756 |
Second Address | Far Rockaway, NY 11691-1756 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2009 |
Last Update Date | 08/01/2009 |