Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | R1233 | KY |
NPI | 1073652889 |
---|---|
Provider Name | Deanna Howard Scott |
First Address | Lexington, KY 40503-2660 |
Second Address | Lexington, KY 40515-6464 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 08/07/2007 |