Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 002743 | OH |
NPI | 1922636455 |
---|---|
Provider Name | Martha Linder |
First Address | Stow, OH 44224-1032 |
Second Address | Stow, OH 44224-1032 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2020 |
Last Update Date | 30/03/2020 |