Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist |
NPI | 1003209487 |
---|---|
Provider Name | Molly Fichter |
First Address | Powell, OH 43065-7334 |
Second Address | Columbus, OH 43235-1990 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2015 |
Last Update Date | 03/02/2020 |