Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | OTA. 04601 | OH |
NPI | 1023381571 |
---|---|
Provider Name | Appollonia Cleaves |
First Address | Euclid, OH 44132-1160 |
Second Address | Richmond Hts, OH 44143-1457 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2012 |
Last Update Date | 14/02/2012 |