Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 132337 | KY |
Y | 225XP0200X | Occupational Therapist - Pediatrics | R0089 | KY |
NPI | 1003070152 |
---|---|
Provider Name | Ms. Margaret Elder Price |
First Address | Louisville, KY 40223-5176 |
Second Address | Louisville, KY 40223-4154 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2008 |
Last Update Date | 08/12/2020 |