Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | OT-005658 | OH |
Y | 225XP0200X | Occupational Therapist - Pediatrics | OT - 005658 | OH |
NPI | 1043425739 |
---|---|
Provider Name | Monica Dawicke |
First Address | Hilliard, OH 43026-2496 |
Second Address | Hilliard, OH 43026-2496 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 23/02/2010 |