Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 097598 | IA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 097598 | IA |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 097598 | IA |
NPI | 1578147500 |
---|---|
Provider Name | Aaron T Aamodt |
First Address | Cedar Rapids, IA 52402-2471 |
Second Address | Cedar Rapids, IA 52402-2471 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2021 |
Last Update Date | 06/05/2021 |