Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | OTA. 05030 | OH |
NPI | 1023366499 |
---|---|
Provider Name | Barbara S Sapp |
First Address | North Canton, OH 44720-2593 |
Second Address | North Canton, OH 44720-2593 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2012 |
Last Update Date | 16/08/2012 |