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Individual

JOANNE L MERRITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
303 N HURSTBOURNE PKWY, SUIT 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
303 N HURSTBOURNE PKWY, SUIT 200, LOUISVILLE, KY 40222-5185
(502) 412-5847

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A5319
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
224Z00000X
COTA
KY
Enumeration date
11/17/2012
Last updated
11/17/2012
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