Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | OT17809 |
NPI | 1497283162 |
---|---|
Provider Name | Irene Njambi Rimui |
First Address | New Port Richey, FL 34653-5542 |
Second Address | New Port Richey, FL 34653-5542 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2017 |
Last Update Date | 25/05/2017 |