Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 4987 | AL |
NPI | 1003375486 |
---|---|
Provider Name | Rachel Brownlee |
First Address | Whatley, AL 36482-4517 |
Second Address | Gadsden, AL 35901-5517 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2019 |
Last Update Date | 15/03/2019 |