Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 083950 | IA |
NPI | 1013462977 |
---|---|
Provider Name | Ms. Mary Elisabeth Scheck |
First Address | Iowa City, IA 52240-3110 |
Second Address | Iowa City, IA 52240-3110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2016 |
Last Update Date | 22/08/2016 |