Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 5201000540 | MI |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 5201000540 | MI |
NPI | 1114279882 |
---|---|
Provider Name | Helen Cecile Rowe |
First Address | Spring Lake, MI 49456-9498 |
Second Address | Spring Lake, MI 49456-9498 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2012 |
Last Update Date | 05/10/2012 |