Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 5201009485 | MI |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 5201009485 | MI |
NPI | 1023465457 |
---|---|
Provider Name | Mrs. Rebekah Ann Mohney |
First Address | Ann Arbor, MI 48104-5131 |
Second Address | Ann Arbor, MI 48104-5131 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2016 |
Last Update Date | 16/05/2016 |