Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT010314 | OH |
NPI | 1053971283 |
---|---|
Provider Name | Peter Louis Magliano |
First Address | Milford, OH 45150-2525 |
Second Address | Cincinnati, OH 45215-1161 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2019 |
Last Update Date | 19/06/2019 |