Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 002750-1 | NY |
NPI | 1023086840 |
---|---|
Provider Name | Ms. Linda Diane Richardson |
First Address | Lexington, KY 40513-1218 |
Second Address | Lexington, KY 40513-1218 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2006 |
Last Update Date | 05/02/2008 |