Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225CA2400X | Assistive Technology Practitioner | ||
Y | 225X00000X | Occupational Therapist | KYR2990 | KY |
NPI | 1497909352 |
---|---|
Provider Name | Mrs. Lindsay R Eubanks |
First Address | Louisville, KY 40213-1016 |
Second Address | Louisville, KY 40203-2644 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2008 |
Last Update Date | 01/05/2013 |