Eric Dybala
Occupational Therapy Assistant
3538 Northridge Ct
Appleton
, Wisconsin 54914-6738
Eric Dybala
Occupational Therapy Assistant
3538 Northridge Ct
Appleton
, Wisconsin 54914-6738
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Eric Dybala
- 3538 Northridge Ct
- Appleton, WI
- Zip : 54914-6738
- Phone :
Second Address
- Eric Dybala
- 3538 Northridge Ct
- Appleton, WI
- Zip : 54914-6738
- Phone : (920) 220-0844
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 5068-27 | WI |
National Provider Identifier
| NPI | 1003221888 |
|---|---|
| Provider Name | Eric Dybala |
| First Address | Appleton, WI 54914-6738 |
| Second Address | Appleton, WI 54914-6738 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2014 |
| Last Update Date | 30/06/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.