Individual
MS. CHRISTINA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1313 SAINT ANTHONY PL, LOUISVILLE, KY 40204-1740
(502) 587-7001
Mailing address
4305 WYOLA CT, LOUISVILLE, KY 40218-2617
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
KY-A3714
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KY-A3714
OCCUPATIONAL THERAPY BOARD
KY
Enumeration date
11/17/2009
Last updated
11/17/2009
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