Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 17-02513 | KS |
NPI | 1285949107 |
---|---|
Provider Name | Mrs. Dawn Hurd |
First Address | Wichita, KS 67226-3390 |
Second Address | Merriam, KS 66204-2209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2010 |
Last Update Date | 10/07/2013 |