Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT 364 | CA |
NPI | 1154559441 |
---|---|
Provider Name | Mr. Michael Scot Reith |
First Address | Fresno, CA 93720-0340 |
Second Address | Fresno, CA 93720-0340 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2009 |
Last Update Date | 25/06/2009 |