Individual
MR. GEORGE LEO GREENWELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1101 WOODLAND DR, ELIZABETHTOWN, KY 42701-2749
(270) 765-6106
(270) 737-6690
Mailing address
2003 FARMAWAY DR, BARDSTOWN, KY 40004-8951
(502) 348-5059
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
KY-R3618
KY
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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