Robert McEndree

Individual provider Active NPI Occupational Therapy Assistant · Perry, OH

NPI 1487079463 · NPPES record last updated Feb 27, 2014

Key facts

NPI
1487079463
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
04494 (OH)
Practice address
4640 White Angel Dr
Perry, OH 44081-9201
Phone
(440) 344-3412
NPI assigned
Feb 27, 2014
Sex
Male
Sole proprietor
Yes

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
04494OHMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 04494 OH Yes

Addresses

Primary practice location

4640 White Angel Dr
Perry, OH 44081-9201

Mailing address

4640 White Angel Dr
Perry, OH 44081-9201

Other providers in Perry, OH

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

Sources for this page

Verify at the official NPI Registry.