Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 132866 | KY |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | KYR2796 | KY |
NPI | 1841452976 |
---|---|
Provider Name | Mr. Robert Sean Mcguirk |
First Address | Louisville, KY 40207-1211 |
Second Address | Phelps, KY 41553-9061 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2008 |
Last Update Date | 15/06/2021 |