Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT0000000932 | TN |
NPI | 1851486112 |
---|---|
Provider Name | Mrs. Karen Ann Meiring |
First Address | Heiskell, TN 37754-3127 |
Second Address | Knoxville, TN 37916-1112 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 08/07/2007 |