Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | KY-A3622 | KY |
NPI | 1013167758 |
---|---|
Provider Name | Emily Lyn Cecil |
First Address | Shelbyville, KY 40065-1984 |
Second Address | Shelbyville, KY 40065-1984 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2008 |
Last Update Date | 30/09/2008 |