Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT010999 | OH |
N | 225XM0800X | Mental Health |
NPI | 1639727027 |
---|---|
Provider Name | Hunter Paige Hermiller |
First Address | Ottawa, OH 45875-1139 |
Second Address | Ottawa, OH 45875-1139 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2019 |
Last Update Date | 04/03/2020 |