Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 011883 | OH |
N | 2251S0007X | Physical Therapist - Sports | 011883 | OH |
N | 2251X0800X | Physical Therapist - Orthopedic | 011883 | OH |
NPI | 1013180025 |
---|---|
Provider Name | Cortney Ann Myer |
First Address | Peninsula, OH 44264-9590 |
Second Address | Akron, OH 44308-1063 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2008 |
Last Update Date | 10/04/2008 |