Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | OT.004753 | OH |
NPI | 1063819787 |
---|---|
Provider Name | Robyne Magness |
First Address | Lebanon, OH 45036-8052 |
Second Address | Lebanon, OH 45036-8602 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2014 |
Last Update Date | 24/11/2014 |