Individual
ALLISON MARY MOISAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1700 SHADY LN, LOUISVILLE, KY 40205-1037
(502) 938-9383
Mailing address
1700 SHADY LN, LOUISVILLE, KY 40205-1037
(502) 938-9383
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
132295
KY
Other
Enumeration date
02/26/2013
Last updated
09/27/2016
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