Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 264240 | KY |
NPI | 1558751255 |
---|---|
Provider Name | Miss Leah R Anderson |
First Address | Lexington, KY 40502 |
Second Address | Lexington, KY 40509-1545 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2015 |
Last Update Date | 16/05/2021 |