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Individual

ISABELLE TEASDALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3310 TATES CREEK RD APT 105, LEXINGTON, KY 40502-3466
(859) 268-6891
Mailing address
171 BASSETT AVE APT 2, LEXINGTON, KY 40502-1537
(336) 414-1110

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
263138
KY

Other

Enumeration date
06/09/2020
Last updated
06/09/2020
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