Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 99044709A | IN |
NPI | 1528362092 |
---|---|
Provider Name | Ms. Shikina Michelle Bays |
First Address | Indianapolis, IN 46214-4098 |
Second Address | Indianapolis, IN 46214-4098 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2010 |
Last Update Date | 27/12/2010 |