Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 004278 | NY |
NPI | 1013573120 |
---|---|
Provider Name | Victoria Geter |
First Address | Yonkers, NY 10704-3415 |
Second Address | Yonkers, NY 10704-3415 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2019 |
Last Update Date | 14/05/2019 |