Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 4374 | OH |
N | 225XF0002X | Feeding, Eating & Swallowing | 4374 | OH |
N | 225XP0200X | Occupational Therapist - Pediatrics | 4374 | OH |
NPI | 1821319864 |
---|---|
Provider Name | Paula Jean Moloney |
First Address | Dayton, OH 45424-5740 |
Second Address | Dayton, OH 45424-5740 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2010 |
Last Update Date | 13/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0510772 | (05) | OH |