Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XG0600X | Occupational Therapist - Gerontology | ||
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation |
NPI | 1265028609 |
---|---|
Provider Name | Brittany Lynn Mcdonald |
First Address | Nashua, IA 50658-9246 |
Second Address | Mason City, IA 50401-2926 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2020 |
Last Update Date | 28/06/2021 |