Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | OT.008793 | OH |
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | R5738 | KY |
NPI | 1477919355 |
---|---|
Provider Name | Chelsea Smith |
First Address | Lexington, KY 40509-4140 |
Second Address | Georgetown, KY 40324-9610 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2016 |
Last Update Date | 08/01/2016 |