Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 03932 | OH |
NPI | 1346552429 |
---|---|
Provider Name | Ms. Carina Ford |
First Address | Uniontown, OH 44685-8401 |
Second Address | Akron, OH 44319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2010 |
Last Update Date | 06/07/2010 |