Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 014775 | NY |
NPI | 1003069287 |
---|---|
Provider Name | Shara Ogin |
First Address | Brooklyn, NY 11215-3689 |
Second Address | Brooklyn, NY 11219-3135 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2008 |
Last Update Date | 31/10/2008 |