Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225CA2400X | Assistive Technology Practitioner |
NPI | 1871766444 |
---|---|
Provider Name | Paula Neimeyer |
First Address | San Bernardino, CA 92407-4618 |
Second Address | Upland, CA 91786-3697 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2008 |
Last Update Date | 03/04/2008 |