Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT.005766 | OH |
NPI | 1003239906 |
---|---|
Provider Name | Linda Kay Skripac |
First Address | Westerville, OH 43081-1823 |
Second Address | Westerville, OH 43081-1823 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2014 |
Last Update Date | 28/01/2014 |