Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT.007838 | OH |
NPI | 1003296112 |
---|---|
Provider Name | Shawna Semer |
First Address | Sylvania, OH 43560-4438 |
Second Address | Sylvania, OH 43560-4438 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2015 |
Last Update Date | 03/06/2015 |