Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 17-02905 | KS |
NPI | 1134511751 |
---|---|
Provider Name | Mrs. Caylee Strnad |
First Address | Olathe, KS 66061-5343 |
Second Address | Olathe, KS 66061-5343 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2015 |
Last Update Date | 19/02/2015 |