Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 039390 | NY |
NPI | 1760990659 |
---|---|
Provider Name | Sierra Hunt |
First Address | Saratoga Spgs, NY 12866-3258 |
Second Address | Delmar, NY 12054-1506 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2018 |
Last Update Date | 14/01/2018 |