Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT 006045 | OH |
NPI | 1003938309 |
---|---|
Provider Name | Josephine Rowe |
First Address | Stow, OH 44224-6180 |
Second Address | Copley, OH 44321-1398 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2007 |
Last Update Date | 08/07/2007 |