Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT1686 | OH |
NPI | 1043518897 |
---|---|
Provider Name | Karen Hassett Pranga |
First Address | Crestview Hills, KY 41017-3444 |
Second Address | Crestview Hills, KY 41017-3444 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2011 |
Last Update Date | 18/05/2016 |