Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant |
NPI | 1013383298 |
---|---|
Provider Name | Robyn Sperlich |
First Address | Coon Rapids, MN 55433-4010 |
Second Address | Coon Rapids, MN 55433 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2015 |
Last Update Date | 11/08/2015 |