Individual
GRETA CECIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
913 N. DIXIE AVE., ELIZABETHTOWN, KY 42701
(270) 737-1212
Mailing address
150 KENNEDY RD, NEW HAVEN, KY 40051-9706
(502) 827-0306
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R0855
KY
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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