Commonwealth Of Kentucky
Occupational Therapy Assistant in Louisville, KY. Organization (NPI-2).
NPI number1023479250
StatusActive
Last updated in NPPESMar 16, 2016
Details
- NPI
- 1023479250
- Entity type
- Organization (NPI-2)
- Legal business name
- Commonwealth Of Kentucky
- Organization subpart
- No
- Enumeration date
- Mar 16, 2016
- Last updated
- Mar 16, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | A2460 | KY | Yes |
Other names
- Lee Specialty Clinic (Doing Business As)
Practice location
4501 Louise Underwood WayLouisville, KY 40216-3987
Phone 502-368-2348 · Fax 502-371-9067
Mailing address
4501 Louise Underwood WayLouisville, KY 40216-3987
Phone 502-368-2348 · Fax 502-371-9067
Authorized official
Tanyika Wan
Cao
5023682348
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Other Occupational Therapy Assistant providers in Louisville, KY
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- Veral Armstead, COTANPI 1053832519
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All 327 Occupational Therapy Assistant providers in Louisville · All 27,512 providers in Louisville
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