Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | OTA.05122 | OH |
NPI | 1023428323 |
---|---|
Provider Name | Heather Litchfield |
First Address | Pomeroy, OH 45769-9730 |
Second Address | Pomeroy, OH 45769-9730 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2014 |
Last Update Date | 07/05/2014 |