Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | OT8618 | FL |
N | 225XH1200X | Occupational Therapist - Hand | OT8618 | FL |
NPI | 1184663908 |
---|---|
Provider Name | Tim Byers |
First Address | Naples, FL 34102-8100 |
Second Address | Naples, FL 34102-5609 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 08/07/2007 |