Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT-902 | OH |
NPI | 1104947738 |
---|---|
Provider Name | Renee L Harshbarger |
First Address | Girard, OH 44420-1642 |
Second Address | Austintown, OH 44515-2343 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000214382 | ANTHEM (01) | OH |
341938609 | TAX ID (01) | OH |
600494 | UNITED HEALTH CARE (01) | OH |