Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 120110 | TX |
Y | 225X00000X | Occupational Therapist | 21160 | FL |
NPI | 1003458654 |
---|---|
Provider Name | Kari Rasmussen |
First Address | Palm Harbor, FL 34683-4218 |
Second Address | Clearwater, FL 33765-1454 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2019 |
Last Update Date | 21/06/2021 |