Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225CA2400X | Assistive Technology Practitioner | ED.S. DEGREE (UK) | KY |
NPI | 1164795191 |
---|---|
Provider Name | Ms. Anne Denham |
First Address | Maysville, KY 41056-8428 |
Second Address | Maysville, KY 41056-8428 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2012 |
Last Update Date | 22/02/2012 |