Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 31003824A | IN |
Y | 225XH1200X | Occupational Therapist - Hand | 31003824A | IN |
NPI | 1255618393 |
---|---|
Provider Name | Mrs. Shawn Marie Rohrbach-Kim |
First Address | Fishers, IN 46037-7237 |
Second Address | Fishers, IN 46037-7237 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2011 |
Last Update Date | 03/11/2011 |