Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 2012024484 | MO |
NPI | 1003435454 |
---|---|
Provider Name | Robin Elizabeth Howard-Boyd |
First Address | Columbia, MO 65201-6517 |
Second Address | Columbia, MO 65201-6517 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2020 |
Last Update Date | 15/04/2020 |