Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | OT.006880 | OH |
NPI | 1932560885 |
---|---|
Provider Name | Mrs. Whitney Woodward |
First Address | Toledo, OH 43617-3114 |
Second Address | Perrysburg, OH 43551-9615 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2016 |
Last Update Date | 18/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
OT.006880 | OTR LICENSE (01) | OH |