Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | OT-005185 | OH |
NPI | 1316448103 |
---|---|
Provider Name | Mrs. Amanda Renee Meeker |
First Address | Wheelersburg, OH 45694-9044 |
Second Address | Wheelersburg, OH 45694-9044 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2018 |
Last Update Date | 27/02/2018 |