Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OH.000703 | OH |
NPI | 1225384498 |
---|---|
Provider Name | Carla M Shrimpton |
First Address | Cincinnati, OH 45249-3652 |
Second Address | Cincinnati, OH 45212-2244 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2012 |
Last Update Date | 25/07/2012 |