Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT011443 | OH |
NPI | 1245811066 |
---|---|
Provider Name | Raquel Bahmer |
First Address | Barnesville, OH 43713-9540 |
Second Address | Woodsfield, OH 43793-1022 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2021 |
Last Update Date | 15/04/2021 |