Individual
MRS. CAMIE MARIE DEAVER-BAUWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3876 TURKEYFOOT RD, ELSMERE, KY 41018-2838
(859) 342-8775
(859) 342-8701
Mailing address
3876 TURKEYFOOT RD, ELSMERE, KY 41018-2838
(859) 342-8775
(859) 342-8701
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A4206
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A4206
COTA/L LICENSE
KY
Enumeration date
01/15/2010
Last updated
01/15/2010
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