Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 057.001369 | IL |
NPI | 1023408366 |
---|---|
Provider Name | Meegan Glasgow-Kuhns |
First Address | Le Roy, IL 61752-1683 |
Second Address | Le Roy, IL 61752-1683 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2015 |
Last Update Date | 26/01/2015 |