Individual
SANDRA GAIL RAPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2770 SLATE BRANCH RD, SOMERSET, KY 42503-6369
(606) 875-0996
Mailing address
2770 SLATE BRANCH RD, SOMERSET, KY 42503-6369
(606) 875-0996
(606) 202-7247
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
134483
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134483
LICENSURE NUMBER
KY
Enumeration date
02/09/2009
Last updated
04/28/2020
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