Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | OTA 01898 | OH |
NPI | 1033309059 |
---|---|
Provider Name | Patricia Troutman |
First Address | Toledo, OH 43606-1326 |
Second Address | Maumee, OH 43537-4010 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2007 |
Last Update Date | 26/07/2007 |