Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT.007085 | OH |
NPI | 1003147463 |
---|---|
Provider Name | Kearstin Hetrick Hamad |
First Address | Copley, OH 44321-1467 |
Second Address | South Daytona, FL 32119-1712 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2010 |
Last Update Date | 26/01/2010 |