Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT-04338 | OH |
NPI | 1104842582 |
---|---|
Provider Name | Susan M. Tribuzi |
First Address | Akron, OH 44333-8320 |
Second Address | Akron, OH 44333-8320 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2006 |
Last Update Date | 08/07/2007 |