Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | OT002783 | OH |
NPI | 1053849083 |
---|---|
Provider Name | Bridget Cay Nawrocki |
First Address | Willoughby, OH 44094-6052 |
Second Address | Chardon, OH 44024-1036 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2017 |
Last Update Date | 04/06/2017 |