Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 8892 | NC |
NPI | 1184273856 |
---|---|
Provider Name | Margaret Marty |
First Address | Shelby, NC 28150-9780 |
Second Address | Shelby, NC 28150-4434 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2019 |
Last Update Date | 05/09/2019 |