Individual
NIRAJ MATHUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4209 BRIDLEPATH PL, LOUISVILLE, KY 40245-1971
(502) 243-9329
Mailing address
4209 BRIDLEPATH PL, LOUISVILLE, KY 40245-1971
(502) 243-9329
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
R1186
KY
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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