Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | KY-R2544 | KY |
N | 225XE0001X | Environmental Modification | KY-R2544 | KY |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | KY-R2544 | KY |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | KY-R2544 | KY |
N | 225XP0200X | Occupational Therapist - Pediatrics | KY-R2544 | KY |
NPI | 1851618664 |
---|---|
Provider Name | Carrie A Morgeson |
First Address | Louisville, KY 40299-1771 |
Second Address | Louisville, KY 40299-1771 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2010 |
Last Update Date | 22/05/2015 |