Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | ||
Y | 225X00000X | Occupational Therapist | R5569 | KY |
N | 225XP0200X | Occupational Therapist - Pediatrics | 114451 | TX |
NPI | 1033557582 |
---|---|
Provider Name | Claire Duvall Muchow |
First Address | Lexington, KY 40503-2028 |
Second Address | Lexington, KY 40503-2028 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2013 |
Last Update Date | 17/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100253240 | (05) | KY |