Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT5724 | FL |
NPI | 1336646355 |
---|---|
Provider Name | Barbara Ann Maxwell |
First Address | Naples, FL 34109-1717 |
Second Address | Naples, FL 34109-1717 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2018 |
Last Update Date | 12/09/2018 |