Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 8889 | NC |
NPI | 1033545140 |
---|---|
Provider Name | Michelle Lynn Satler |
First Address | Supply, NC 28462-4215 |
Second Address | Supply, NC 28462-4215 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2013 |
Last Update Date | 20/09/2013 |