Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT.008459 | OH |
NPI | 1235625427 |
---|---|
Provider Name | Katherine Rose Reho |
First Address | Concord Twp, OH 44077-9502 |
Second Address | Chardon, OH 44024-2800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2018 |
Last Update Date | 10/07/2018 |