Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT15291 | FL |
NPI | 1073869236 |
---|---|
Provider Name | Kathryn M Sadler |
First Address | Lake Worth, FL 33467-6579 |
Second Address | Royal Palm Beach, FL 33411-8735 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2012 |
Last Update Date | 11/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006467000 | (05) | FL |