Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 01513 | OH |
NPI | 1003062142 |
---|---|
Provider Name | Pamela Alice Barlow |
First Address | Liberty Twp., OH 45044 |
Second Address | Hamilton, OH 45013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2008 |
Last Update Date | 08/08/2008 |