Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | OTA-02885 | OH |
NPI | 1720103575 |
---|---|
Provider Name | Trisha L Sims |
First Address | Clinton, OH 44216-9005 |
Second Address | Akron, OH 44313-4228 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2007 |
Last Update Date | 08/07/2007 |