Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 201951 | MN |
NPI | 1023498516 |
---|---|
Provider Name | Brittany Narloch |
First Address | Coon Rapids, MN 55433-7471 |
Second Address | Coon Rapids, MN 55433 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2015 |
Last Update Date | 01/06/2015 |