Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | ||
N | 225XG0600X | Occupational Therapist - Gerontology | OT.007098 | OH |
NPI | 1164882601 |
---|---|
Provider Name | Micaiah Zsigray |
First Address | Lima, OH 45805-3583 |
Second Address | Perrysburg, OH 43551-3118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2016 |
Last Update Date | 06/10/2021 |