Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 02279 | OH |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 02279 | OH |
NPI | 1154748101 |
---|---|
Provider Name | Andrea Christian |
First Address | Wapakoneta, OH 45895-9245 |
Second Address | Wapakoneta, OH 45895-9245 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2014 |
Last Update Date | 27/03/2014 |