Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT.007752 | OH |
NPI | 1003106246 |
---|---|
Provider Name | Sarah Durham |
First Address | Amherst, OH 44001-3338 |
Second Address | Amherst, OH 44001-3338 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2011 |
Last Update Date | 12/03/2018 |