Individual
MRS. MICHELLE LYNN CONVERSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
133695
KY
225XP0200X
Pediatric Occupational Therapist
31004505A
IN
Other
Enumeration date
12/17/2007
Last updated
04/13/2022
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