Individual
CORI PAIGE EASTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2480 US HIGHWAY 41 N STE 80, HENDERSON, KY 42420-2300
(270) 823-3875
Mailing address
PO BOX 32, STURGIS, KY 42459-0032
(270) 952-3043
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
163952
KY
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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