Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 0515 | NV |
NPI | 1003961335 |
---|---|
Provider Name | Janet R Mcknight |
First Address | Reno, NV 89521 |
Second Address | Reno, NV 89509-7349 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2007 |
Last Update Date | 08/07/2007 |