Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | OTA007105 | OH |
NPI | 1003323486 |
---|---|
Provider Name | Karen Ann Morrow |
First Address | Broadview Heights, OH 44147-2575 |
Second Address | Broadview Heights, OH 44147-2575 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2018 |
Last Update Date | 06/01/2018 |