Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 6384 | OH |
NPI | 1033543954 |
---|---|
Provider Name | Nicole Shaw Pfirman |
First Address | Hamilton, OH 45013-3601 |
Second Address | Hamilton, OH 45013-3601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2013 |
Last Update Date | 27/08/2013 |