Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 003275 | OH |
NPI | 1467579367 |
---|---|
Provider Name | Mrs. Jodi Ann Keiper |
First Address | Chagrin Falls, OH 44022-4221 |
Second Address | Cleveland, OH 44125-3106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2007 |
Last Update Date | 08/07/2007 |