Autumnn Parmeter

Individual provider Active NPI Occupational Therapy Assistant · West Union, IA

NPI 1689079667 · NPPES record last updated Nov 3, 2014

Key facts

NPI
1689079667
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
075902 (IA)
Practice address
112 Jefferson St
West Union, IA 52175-1022
Phone
(563) 422-3811
NPI assigned
Nov 3, 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

LicenseStateTypeSpecialty
075902IAMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 075902 IA Yes

Addresses

Primary practice location

112 Jefferson St
West Union, IA 52175-1022

Mailing address

300 5TH Ave SE
Tripoli, IA 50676-9622
Phone (319) 239-1938

Other providers in West Union, IA

All providers in West Union, IA · Occupational Therapy Assistant in Iowa

Sources for this page

Verify at the official NPI Registry.