Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | OTA3109 | OH |
NPI | 1023307535 |
---|---|
Provider Name | Lee Ann Lincoln |
First Address | North Lawrence, OH 44666-9705 |
Second Address | North Lawrence, OH 44666-9705 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2011 |
Last Update Date | 05/04/2011 |