Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XH1200X | Occupational Therapist - Hand | ||
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation |
NPI | 1306446364 |
---|---|
Provider Name | Brenda Ruhnke |
First Address | Kansas City, MO 64155-2241 |
Second Address | Kansas City, MO 64155-2241 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2020 |
Last Update Date | 29/10/2020 |