Individual
CLAIRE DUVALL MUCHOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 JOHNSTON BLVD, LEXINGTON, KY 40503-2028
(919) 801-3426
Mailing address
113 JOHNSTON BLVD, LEXINGTON, KY 40503-2028
(859) 224-2273
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R5569
KY
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
114451
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100253240
—
KY
Enumeration date
06/06/2013
Last updated
11/17/2013
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