Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | ||
N | 225XH1200X | Occupational Therapist - Hand |
NPI | 1073720223 |
---|---|
Provider Name | Lori Ann Funai |
First Address | Uniontown, OH 44685-7774 |
Second Address | North Canton, OH 44720-7624 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 08/07/2007 |