Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XG0600X | Occupational Therapist - Gerontology | OH 006628 | OH |
Y | 225XP0200X | Occupational Therapist - Pediatrics | OT006628 | OH |
NPI | 1093998205 |
---|---|
Provider Name | Ms. Sarah Elizabeth Hille |
First Address | Cincinnati, OH 45229-3026 |
Second Address | Fairfield, OH 45014-5379 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2007 |
Last Update Date | 15/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2187155 | (05) | OH |