Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OC013457 | PA |
NPI | 1255733622 |
---|---|
Provider Name | Anthony Windsheimer |
First Address | Washington, PA 15301-3045 |
Second Address | Oklahoma City, OK 73103-4823 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2014 |
Last Update Date | 17/09/2014 |