NPI | 1801042627 |
---|---|
Former Name | KERRIE JEAN JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: KY R0033) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: KY R0033) |
225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: KY R0033) | |
225XE0001X Occupational Therapist, Environmental Modification (Licence: KY R0033) | |
Enumeration Date | 2008-08-12 |
Last Update Date | 2015-03-30 |