Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 017409 | NY |
NPI | 1003055526 |
---|---|
Provider Name | Sarah Elizabeth Sibajene |
First Address | Carmel, NY 10512-4514 |
Second Address | Carmel, NY 10512-4514 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2009 |
Last Update Date | 11/07/2012 |