Commonwealth of Kentucky
Commonwealth of Kentucky is an Occupational Therapy Assistant in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2016.
- Licensed in
- KY
- In the registry since
- 2016
Practice location Address checks out
4501 Louise Underwood WayLouisville, KY 40216-3987
Phone: (502) 368-2348
Fax: (502) 371-9067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence A2460 (KY) |
|---|
Record details
| NPI number | 1023479250 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tanyika Wan — Cao · (502) 368-2348 |
| Other names | Lee Specialty Clinic |
| NPI enumerated | March 16, 2016 |
| Last updated in NPPES | March 16, 2016 |
| Mailing address | 4501 Louise Underwood Way, Louisville, KY 40216-3987 |
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