Individual
HARRIET EDNA BYNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,O.T.R. L.
Contact information
Practice address
16351 STATE ROUTE 267, EAST LIVERPOOL, OH 43920-3931
(330) 386-5093
(330) 386-0571
Mailing address
100 COTTONWOOD DRIVE, OAKDALE, PA 15071
(724) 693-0505
(724) 693-9467
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
851
WV
225X00000X
Occupational Therapist
OC000056L
PA
225X00000X
Occupational Therapist
Primary
OT004550
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000364231
ANTHEM
OH
Enumeration date
02/21/2007
Last updated
07/08/2007
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