Individual
RUSSELL L. HENLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
9810 BLUEGRASS PKWY, LOUISVILLE, KY 40299-1906
(502) 584-9781
Mailing address
2919 FIELD AVE, LOUISVILLE, KY 40206-1531
(502) 895-7997
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
KY-R2529
KY
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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