Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 135686 | KY |
NPI | 1912533456 |
---|---|
Provider Name | Mrs. Allison Christine Lee |
First Address | Lexington, KY 40504-2326 |
Second Address | Lexington, KY 40504-2326 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2020 |
Last Update Date | 17/03/2020 |