Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 03873 | OH |
NPI | 1306350889 |
---|---|
Provider Name | Mr. Patrick Work |
First Address | Medina, OH 44256-2727 |
Second Address | Hillsboro, OH 45133-1533 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2017 |
Last Update Date | 17/03/2018 |