Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 325072-4201 | UT |
NPI | 1285685420 |
---|---|
Provider Name | Sherman D Stanley |
First Address | Denver, CO 80217-5546 |
Second Address | Ogden, UT 84403-4303 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 18/01/2017 |