Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 1976 | NC |
NPI | 1417228982 |
---|---|
Provider Name | Mrs. Deanna Marie Schill |
First Address | Fort Mill, SC 29715-6931 |
Second Address | Charlotte, NC 28212-2833 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2012 |
Last Update Date | 15/01/2012 |