Individual
MARY COMBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,OTR/L
Contact information
Practice address
390 PARK AVE, HAZARD, KY 41701-9548
(606) 439-2306
Mailing address
200 DEATON ST, HAZARD, KY 41701-1404
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R4000
KY
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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