NPI | 1285838490 |
---|---|
Former Name | MARY ELIZABETH REUSCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY R2141) |
Additional Taxonomies | 171W00000X Contractor (Licence: KY KY-R2141) |
Enumeration Date | 2007-06-12 |
Last Update Date | 2016-04-20 |