Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT016233 | OH |
N | 2251S0007X | Physical Therapist - Sports | PT016233 | OH |
NPI | 1083126049 |
---|---|
Provider Name | Dr. Bethany Sirl |
First Address | Akron, OH 44313-5341 |
Second Address | Akron, OH 44313-5341 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2017 |
Last Update Date | 08/04/2021 |