Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | S4279 | OH |
NPI | 1194967950 |
---|---|
Provider Name | Cheryl Cotterman |
First Address | Findlay, OH 45840-5857 |
Second Address | Findlay, OH 45840-5857 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2009 |
Last Update Date | 25/03/2009 |