| NPI | 1083102685 |
|---|---|
| Former Name | ANDREA MICHELLE MADDUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 132611) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics |
| 225XE0001X Occupational Therapist Environmental Modification | |
| 225XF0002X Occupational Therapist Feeding, Eating & Swallowing | |
| 225XG0600X Occupational Therapist Gerontology | |
| 225XN1300X Occupational Therapist Neurorehabilitation | |
| 225XP0019X Occupational Therapist Physical Rehabilitation | |
| Enumeration Date | 2018-04-29 |
| Last Update Date | 2020-04-13 |