Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 002820-1 | NY |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 002820-1 | NY |
NPI | 1154658920 |
---|---|
Provider Name | Tonette C. Joslin |
First Address | Woodstock, NY 12498-8403 |
Second Address | Bronx, NY 10471-2402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2009 |
Last Update Date | 15/11/2009 |