Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 18679 | FL |
NPI | 1235680042 |
---|---|
Provider Name | Ms. Natalie Roaine Ash-Maheux |
First Address | Newport, VT 05855-4452 |
Second Address | Tavares, FL 32778 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2016 |
Last Update Date | 09/10/2018 |