Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 014043 | OH |
NPI | 1003235037 |
---|---|
Provider Name | Miss Rachel Weir Vecchio |
First Address | Beachwood, OH 44122-1191 |
Second Address | Beachwood, OH 44122-1191 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2014 |
Last Update Date | 07/04/2014 |