Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | C1104 | WV |
NPI | 1013042522 |
---|---|
Provider Name | Pat Finley |
First Address | Pleasant City, OH 43772 |
Second Address | Parkersburg, WV 26105-8122 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0002106000 | (05) | WV |