Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OC000477L | PA |
NPI | 1053507913 |
---|---|
Provider Name | Lynda Kihle |
First Address | Phoenixville, PA 19460-3905 |
Second Address | Phoenixville, PA 19460-3905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2007 |
Last Update Date | 24/09/2007 |