Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | U20000352 | DE |
NPI | 1003074816 |
---|---|
Provider Name | Rachel Argo |
First Address | Felton, DE 19943-1901 |
Second Address | Felton, DE 19943-1901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2008 |
Last Update Date | 29/05/2008 |