Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 5201002582 | MI |
NPI | 1184846016 |
---|---|
Provider Name | Lisa Gail Eskro |
First Address | Battle Creek, MI 49015 |
Second Address | Battle Creek, MI 49015 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 17/07/2007 |