Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | BOTOCT00217063 | KY |
N | 225XM0800X | Mental Health | BOTOCT00217063 | KY |
N | 225XP0200X | Occupational Therapist - Pediatrics | BOTOCT00217063 | KY |
NPI | 1164814372 |
---|---|
Provider Name | Sarah Wrather |
First Address | Bowling Green, KY 42104-7205 |
Second Address | Bowling Green, KY 42104-7205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2015 |
Last Update Date | 25/02/2015 |