NPI 1023479250

Commonwealth of Kentucky

Organisation Occupational Therapy Assistant Louisville, KY

Practice location

Address: 4501 Louise Underwood Way, Louisville, KY 40216-3987
Phone: (502) 368-2348
Fax: (502) 371-9067

Authorised official

Name: Tanyika Wan
Title: Cao
Phone: (502) 368-2348

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence A2460 (KY)

Other Occupational Therapy Assistant providers in Kentucky →

Registry record

NPI: 1023479250
Entity type: Organization
NPI issued: 16 Mar 2016
Record last updated: 16 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.