Individual
TAYLOR RICHBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7107 MALLGATE PL APT A2, LOUISVILLE, KY 40207-4147
(502) 777-6141
Mailing address
7107 MALLGATE PL APT A2, LOUISVILLE, KY 40207-4147
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
BOTOTA00225079
KY
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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