Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | OT10152 | FL |
NPI | 1073656369 |
---|---|
Provider Name | Mrs. Megan Grindstaff Hyman |
First Address | Jacksonville, FL 32259-7940 |
Second Address | Jacksonville, FL 32250-2079 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2007 |
Last Update Date | 08/07/2007 |