Individual
NATHAN JOSHUA BABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP009914
PA
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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