Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | OH |
NPI | 1013335694 |
---|---|
Provider Name | Melinda Nash |
First Address | Massillon, OH 44646-1151 |
Second Address | Louisville, OH 44641-9031 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2014 |
Last Update Date | 01/04/2014 |