Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 00022 | IA |
NPI | 1720231087 |
---|---|
Provider Name | Mrs. Denise Kay Kluever |
First Address | Norwalk, IA 50211-1332 |
Second Address | Norwalk, IA 50211-1332 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2008 |
Last Update Date | 30/10/2008 |