Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | OT.007136 | OH |
NPI | 1023230885 |
---|---|
Provider Name | Ms. Kay Lynn Dohm |
First Address | Swanton, OH 43558-8660 |
Second Address | Toledo, OH 43623 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 25/01/2019 |