Individual
MRS. GRETA BRAUNER BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
2520 BARDSTOWN RD, SUITE 8, LOUISVILLE, KY 40205-2685
(502) 451-2142
(502) 451-2740
Mailing address
7102 CAPE COD CT, LOUISVILLE, KY 40214-4302
(502) 366-4100
(502) 253-4599
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1451
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1463
CBIS PROVIDER NUMBER
KY
Enumeration date
02/06/2007
Last updated
07/08/2007
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