| NPI | 1881195436 |
|---|---|
| Former Name | JAMIE LYNN COUCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 175129) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KY 175129) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2023-04-25 |