Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225000000X | Orthotic Fitter | OT 002151 | OH |
Y | 225X00000X | Occupational Therapist | OT 002151 | OH |
N | 2251E1200X | Ergonomics | OT 002151 | OH |
N | 225XE1200X | Ergonomics | OT 002151 | OH |
N | 225XH1200X | Occupational Therapist - Hand | OT 002151 | OH |
NPI | 1528138138 |
---|---|
Provider Name | Edgar W Worrell |
First Address | Bellbrook, OH 45305-1494 |
Second Address | Bellbrook, OH 45305-1494 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2006 |
Last Update Date | 26/08/2008 |