Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 056.003057 | IL |
NPI | 1851733968 |
---|---|
Provider Name | Mrs. Pamela Ann Meek |
First Address | Saint Francisville, IL 62460-3167 |
Second Address | Olney, IL 62450-2319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2013 |
Last Update Date | 18/07/2013 |