Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT006678 | OH |
N | 225XH1200X | Occupational Therapist - Hand | OT006678 | OH |
NPI | 1104091446 |
---|---|
Provider Name | Amber Lynn Deweese |
First Address | Upper Arlington, OH 43220-2246 |
Second Address | Columbus, OH 43220-2247 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2008 |
Last Update Date | 06/04/2020 |