Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 006553 | OH |
NPI | 1013538651 |
---|---|
Provider Name | Brittney Leann Richards |
First Address | Canfield, OH 44406-1454 |
Second Address | Canfield, OH 44406-1454 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2020 |
Last Update Date | 06/05/2020 |