Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 01614 | IA |
N | 225XE0001X | Environmental Modification | 01614 | IA |
N | 2251E1200X | Ergonomics | 01614 | IA |
N | 225XE1200X | Ergonomics | 01614 | IA |
N | 225XF0002X | Feeding, Eating & Swallowing | 01614 | IA |
N | 225XG0600X | Occupational Therapist - Gerontology | 01614 | IA |
N | 225XH1200X | Occupational Therapist - Hand | 01614 | IA |
N | 2251H1300X | Human Factors | 01614 | IA |
N | 225XH1300X | Human Factors | 01614 | IA |
N | 225XL0004X | Low Vision | 01614 | IA |
N | 225XM0800X | Mental Health | 01614 | IA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 01614 | IA |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 01614 | IA |
N | 225XP0200X | Occupational Therapist - Pediatrics | 01614 | IA |
N | 225XR0403X | Driving and Community Mobility | 01614 | IA |
NPI | 1508007055 |
---|---|
Provider Name | Mrs. Steffany Marie Sass |
First Address | Waverly, IA 50677-4389 |
Second Address | Waverly, IA 50677-4389 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2009 |
Last Update Date | 12/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0665992 | (05) | IA |
1982763488 | FACILITY NPI (01) | IA |