Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 3388 | AZ |
NPI | 1124046925 |
---|---|
Provider Name | Mrs. Karin Schnobrich Burbach |
First Address | Minneapolis, MN 55440-1309 |
Second Address | Scottsdale, AZ 85258-4510 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 09/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
136979 | (05) | AZ |
Q44662 | (02) |