Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT00000467 | WA |
NPI | 1508034422 |
---|---|
Provider Name | Ms. Carolyn Mary Kus |
First Address | Coupeville, WA 98239-9647 |
Second Address | Coupeville, WA 98239-9647 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2008 |
Last Update Date | 13/02/2008 |