Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 6179 | AZ |
NPI | 1023495496 |
---|---|
Provider Name | Andrew Strmic |
First Address | Litchfield Park, AZ 85340-9448 |
Second Address | Litchfield Park, AZ 85340-9448 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2015 |
Last Update Date | 05/05/2015 |