Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 03522 | OH |
NPI | 1013114651 |
---|---|
Provider Name | Chelynn Nicole Dill |
First Address | Columbus, OH 43229-1982 |
Second Address | Hilliard, OH 43026-1310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2007 |
Last Update Date | 08/07/2007 |