Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT3236 | CA |
NPI | 1003863606 |
---|---|
Provider Name | Kathryn S Nuss |
First Address | Pacific Grove, CA 93950-4277 |
Second Address | Pacific Grove, CA 93950-4277 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2006 |
Last Update Date | 28/10/2017 |