Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | KY-R2615 | KY |
NPI | 1003468349 |
---|---|
Provider Name | Alison May |
First Address | Prestonsburg, KY 41653-7838 |
Second Address | Martin, KY 41649-7999 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2019 |
Last Update Date | 16/07/2019 |