Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 006620 | OH |
NPI | 1003039694 |
---|---|
Provider Name | Robin Furlong |
First Address | Cincinnati, OH 45242-5529 |
Second Address | Cincinnati, OH 45242-5529 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2007 |
Last Update Date | 08/07/2007 |