Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist | 1922 | OH |
NPI | 1295133171 |
---|---|
Provider Name | Mrs. Laurel Lunsford |
First Address | Chillicothe, OH 45601-9718 |
Second Address | Chillicothe, OH 45601-9718 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2014 |
Last Update Date | 21/03/2019 |