Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 04602 | OH |
NPI | 1013334861 |
---|---|
Provider Name | Joanne Darr |
First Address | North Ridgeville, OH 44039-4073 |
Second Address | North Ridgeville, OH 44039-4073 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2014 |
Last Update Date | 18/03/2014 |