Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 006525 | OH |
NPI | 1215417779 |
---|---|
Provider Name | Mr. Jeremy Hess |
First Address | Pickerington, OH 43147-1147 |
Second Address | Pickerington, OH 43147-9653 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2018 |
Last Update Date | 15/08/2018 |