Individual
FLENCE LYKA DURAN MACOPIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
260 HOSPITAL DR, SOUTH WILLIAMSON, KY 41503-4072
(606) 237-1717
Mailing address
20325 YOUNGSTOUN CT APT 2704, HAGERSTOWN, MD 21742-8217
(304) 785-9941
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
09623
MD
225X00000X
Occupational Therapist
164274
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164274
KENTUCKY BOARD OF LICENSURE FOR OCCUPATIONAL THERAPY
KY
Enumeration date
07/16/2019
Last updated
09/18/2022
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