Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 92140 | IA |
NPI | 1023626249 |
---|---|
Provider Name | Rylee Parkhill |
First Address | North Sioux City, SD 57049-3082 |
Second Address | Sioux City, IA 51103-1705 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2020 |
Last Update Date | 14/07/2020 |