Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 004895 | OH |
NPI | 1073030177 |
---|---|
Provider Name | Susan M Schnapp |
First Address | Toledo, OH 43615-3904 |
Second Address | Sylvania, OH 43560-2116 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2017 |
Last Update Date | 29/08/2017 |