Kara Eicher, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Bryan, OH

NPI 1184969826 · NPPES record last updated Dec 6, 2012

Key facts

NPI
1184969826
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OTA.3397 (OH)
Practice address
1104 Wesley Ave
Bryan, OH 43506-2579
Phone
(419) 636-5071
NPI assigned
Dec 6, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OTA.3397OHMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA.3397 OH Yes

Addresses

Primary practice location

1104 Wesley Ave
Bryan, OH 43506-2579

Mailing address

1104 Wesley Ave
Bryan, OH 43506-2579
Phone (419) 636-5071

Other providers in Bryan, OH

All providers in Bryan, OH · Occupational Therapy Assistant in Ohio

Sources for this page

Verify at the official NPI Registry.