Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT 008397 | OH |
NPI | 1003257858 |
---|---|
Provider Name | Michael D Iott |
First Address | Toledo, OH 43617-1083 |
Second Address | Toledo, OH 43617-1083 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2013 |
Last Update Date | 09/07/2013 |