Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | OT 17271 | FL |
Y | 225X00000X | Occupational Therapist | OTR46TR00608600 | NJ |
NPI | 1003271396 |
---|---|
Provider Name | Tricia Furie |
First Address | Colts Neck, NJ 07722-1268 |
Second Address | Miami, FL 33175-6462 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2015 |
Last Update Date | 31/12/2015 |