Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | OT.008660 | OH |
NPI | 1053778647 |
---|---|
Provider Name | Megan Molnar |
First Address | New Springfield, OH 44443-9776 |
Second Address | Youngstown, OH 44512-7011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2016 |
Last Update Date | 27/01/2016 |