Individual
TERESA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1337 ANDERSON BRANCH RD, WALLINGFORD, KY 41093-8429
(606) 541-2367
(606) 876-2086
Mailing address
1337 ANDERSON BRANCH RD, WALLINGFORD, KY 41093-8429
(606) 541-2367
(606) 876-2086
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R4034
KY
Other
Enumeration date
11/03/2012
Last updated
11/03/2012
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