Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT004251 | GA |
NPI | 1003208463 |
---|---|
Provider Name | Roberta Zeman |
First Address | Savannah, GA 31405-8147 |
Second Address | Savannah, GA 31405-8147 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2015 |
Last Update Date | 23/02/2015 |