Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 2013023668 | MO |
NPI | 1093157117 |
---|---|
Provider Name | Miss Sarah Marie Koerper |
First Address | Blue Springs, MO 64014-2524 |
Second Address | Blue Springs, MO 64014-2524 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2013 |
Last Update Date | 09/10/2013 |