Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 260030 | KY |
NPI | 1003447483 |
---|---|
Provider Name | Hannah Scott |
First Address | Lexington, KY 40504-1405 |
Second Address | Lexington, KY 40504-2246 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2020 |
Last Update Date | 04/02/2020 |