Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | OT1098 | ME |
NPI | 1932684800 |
---|---|
Provider Name | Michael Howard Oken |
First Address | Sabattus, ME 04280-4141 |
Second Address | Auburn, ME 04210-4332 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2018 |
Last Update Date | 26/09/2018 |