Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225CX0006X | Orientation and Mobility Training Provider | CA1001136 | OH |
NPI | 1356697734 |
---|---|
Provider Name | Dr. Kay L. Clarke |
First Address | Worthington, OH 43085-2483 |
Second Address | Worthington, OH 43085-2483 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2012 |
Last Update Date | 03/08/2012 |