Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology |
NPI | 1235778267 |
---|---|
Provider Name | Mrs. Eunice J Saylor |
First Address | Berea, KY 40403-8710 |
Second Address | Richmond, KY 40475-3331 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2019 |
Last Update Date | 20/12/2019 |