Individual
LORI J EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1301 CHERRY HILL CT, LOUISVILLE, KY 40229-1155
(502) 727-5258
Mailing address
1301 CHERRY HILL CT, LOUISVILLE, KY 40229-1155
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
136189
KY
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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