Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 015683-1 | NY |
NPI | 1063865723 |
---|---|
Provider Name | Ruth Metzger |
First Address | New York, NY 10065-7471 |
Second Address | New York, NY 10065-7471 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2016 |
Last Update Date | 28/09/2017 |