Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT4111 | FL |
NPI | 1013163039 |
---|---|
Provider Name | Mrs. Cynthia L Radi-Peters |
First Address | Naples, FL 34119-8100 |
Second Address | Naples, FL 34119-8100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2008 |
Last Update Date | 08/09/2008 |