Individual
MR. CONRAD RICHARD SIPA
Active
Individual
MR. CONRAD RICHARD SIPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
009993-1
NY
225XG0600X
Gerontology Occupational Therapist
009993
NY
225XN1300X
Neurorehabilitation Occupational Therapist
009993-1
NY
225XP0019X
Physical Rehabilitation Occupational Therapist
009993-1
NY
225XP0200X
Pediatric Occupational Therapist
009993-1
NY
Other
Enumeration date
09/12/2010
Last updated
10/25/2010
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