Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XG0600X | Occupational Therapist - Gerontology | OT9902 | CA |
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT14419 | FL |
NPI | 1831476217 |
---|---|
Provider Name | Zelma Schroth |
First Address | Bellingham, WA 98229-3941 |
Second Address | Bellingham, WA 98229-3941 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2011 |
Last Update Date | 03/06/2012 |