Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 002043 | MO |
NPI | 1033263124 |
---|---|
Provider Name | Mr. William Matthew March |
First Address | Kansas City, MO 64154-1621 |
Second Address | Lees Summit, MO 64086-4714 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2007 |
Last Update Date | 08/07/2007 |