Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | A5479 | KY |
NPI | 1013337245 |
---|---|
Provider Name | Mrs. Megan Doran |
First Address | Cold Spring, KY 41076 |
Second Address | Cold Spring, KY 41076-1789 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2014 |
Last Update Date | 12/04/2016 |