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CHRISTIE COURREJOLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
299 KINGS DAUGHTERS DR, FRANKFORT, KY 40601-6514
(502) 226-1405
Mailing address
299 KINGS DAUGHTERS DR, FRANKFORT, KY 40601-6514

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R1156
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
45001369
KY
Enumeration date
06/06/2008
Last updated
06/06/2008
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