Individual
MRS. MARJORIE AQUINO VILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
16700 GLEN LAKES DRIVE, LOUISVILLE, KY 40245-5313
(502) 370-7333
(502) 384-4087
Mailing address
16700 GLEN LAKES DRIVE, LOUISVILLE, KY 40245-5313
(502) 370-7333
(502) 384-4087
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
KY-R3543
KY
225XP0200X
Pediatric Occupational Therapist
Primary
KY-R3543
KY
Other
Enumeration date
10/26/2007
Last updated
02/21/2008
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