Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 103977 | MN |
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT 003389 | OH |
NPI | 1528345709 |
---|---|
Provider Name | Kimberly Ann Hewitt |
First Address | Cincinnati, OH 45241-3338 |
Second Address | Cincinnati, OH 45241-3338 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2011 |
Last Update Date | 15/11/2011 |