Individual
LINDA BALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 COMMONWEALTH AVENUE, CORBIN, KY 40701
(606) 258-2525
Mailing address
116 S COMMONWEALTH AVE, CORBIN, KY 40701-6408
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
—
—
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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