Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 002739 | OH |
N | 2251C2600X | Cardiopulmonary | 002739 | OH |
N | 2251G0304X | Physical Therapist - Geriatrics | PT002739 | OH |
N | 2251H1300X | Human Factors | 002739 | OH |
N | 225XH1300X | Human Factors | 002739 | OH |
N | 2251N0400X | Physical Therapist - Neurology | 002739 | OH |
N | 2251S0007X | Physical Therapist - Sports | 002739 | OH |
N | 2251X0800X | Physical Therapist - Orthopedic | 002739 | OH |
NPI | 1790838985 |
---|---|
Provider Name | Marian Slagle Over |
First Address | Wadsworth, OH 44281-9265 |
Second Address | North Canton, OH 44720-7228 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2007 |
Last Update Date | 08/07/2007 |