Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 2007 | SC |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 2007 | SC |
NPI | 1457503104 |
---|---|
Provider Name | Mr. Arnold Tacmo Pagatpatan |
First Address | Hilton Head Island, SC 29928-3442 |
Second Address | Hilton Head Island, SC 29928-3442 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2008 |
Last Update Date | 14/10/2008 |