Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | S0026961 | OH |
NPI | 1003807660 |
---|---|
Provider Name | Rodd A Zeller |
First Address | Columbus, OH 43212-3135 |
Second Address | Columbus, OH 43212-3135 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 08/07/2007 |