| Specialty | Taxonomy Code | |
|---|---|---|
| * | Ergonomics | 225XE1200X |
| Environmental Modification | 225XE0001X | |
| Gerontology | 225XG0600X | |
| Occupational Therapist | 225X00000X |
* Indicates primary specialty
| NPI Number | 1134953565 |
| Credentials | OTR/L (Occupational Therapist, Registered, Licensed) |
| Entity | Individual |
| Enumeration date | 08/28/2024 |
| Last updated | 08/28/2024 - More than a year ago |
| Sole proprietor1 | Yes |
| Identifiers |
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| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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