Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 1621 | OK |
NPI | 1023602349 |
---|---|
Provider Name | Megan Trowe |
First Address | Tulsa, OK 74133-6014 |
Second Address | Tulsa, OK 74133-6014 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2021 |
Last Update Date | 26/02/2021 |