Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 09411 | MD |
NPI | 1134891930 |
---|---|
Provider Name | Madeline Kaempfer |
First Address | Frederick, MD 21702-4382 |
Second Address | Frederick, MD 21702-4382 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2021 |
Last Update Date | 30/09/2021 |