Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 0125871 | NY |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 0125871 | NY |
NPI | 1639295512 |
---|---|
Provider Name | Yael Rotter |
First Address | West Orange, NJ 07052-3821 |
Second Address | New York, NY 10033 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2007 |
Last Update Date | 18/07/2014 |