Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XF0002X | Feeding, Eating & Swallowing | 3437 | NY |
N | 2251H1300X | Human Factors | 3437 | NY |
N | 225XH1300X | Human Factors | 3437 | NY |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 3437 | NY |
N | 225XR0403X | Driving and Community Mobility | 3437 | NY |
NPI | 1043511637 |
---|---|
Provider Name | Susan Lloyd Roberts |
First Address | Flushing, NY 11358-2309 |
Second Address | Flushing, NY 11358-2309 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2010 |
Last Update Date | 12/11/2010 |