Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OTR3102 | AR |
N | 225XM0800X | Mental Health | OTR3102 | AR |
NPI | 1407343924 |
---|---|
Provider Name | Naomi Louise Allmayer |
First Address | Lawrence, KS 66046-3235 |
Second Address | Little Rock, AR 72205-5446 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2018 |
Last Update Date | 19/04/2018 |