Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | OT19702 | FL |
NPI | 1952947194 |
---|---|
Provider Name | Courtney Seib |
First Address | Cape Coral, FL 33990-6853 |
Second Address | Cape Coral, FL 33990-6853 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2019 |
Last Update Date | 22/11/2019 |