Michelle Stone, OTA.05198
Individual provider Active NPI Occupational Therapy Assistant · Forest, OH
NPI 1578971784 · NPPES record last updated Jul 31, 2014
Key facts
- NPI
- 1578971784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OTA.05128 (OH)
- Practice address
- 512 S Warner St
Forest, OH 45843-1362 - Phone
- (419) 889-5910
- NPI assigned
- Jul 31, 2014
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| OTA.05128 | OH | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA.05128 | OH | Yes |
Addresses
Primary practice location
512 S Warner St
Forest, OH 45843-1362
Mailing address
512 S Warner St
Forest, OH 45843-1362
Other providers in Forest, OH
- Kathy Garman
- Jackson Forest Emergency Ambulance Service
- Jessika King
- Kelly Melroy
- Kaisha Runion
- Deborah Sue Thompson
- Heidi L Washburn
- Wyandot Memorial Hospital
- Wyandot Memorial Hospital
All providers in Forest, OH · Occupational Therapy Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.