Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | R2613 | KY |
NPI | 1720446552 |
---|---|
Provider Name | Dr. Steven Wheeler |
First Address | Morgantown, WV 26508-9188 |
Second Address | Ashland, KY 41101-7734 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2016 |
Last Update Date | 08/02/2016 |