Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 0TA.03697 | OH |
NPI | 1033388194 |
---|---|
Provider Name | Wendy L Callahan |
First Address | Sharpsville, PA 16150-8319 |
Second Address | Geneva, OH 44041-7137 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2008 |
Last Update Date | 04/09/2008 |