Individual
ELIZABETH DANIELLE SEXTON PONDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, MS
Contact information
Practice address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 633-1007
(502) 805-1511
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 633-1007
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
134067
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3052
—
KY
Enumeration date
01/26/2021
Last updated
06/27/2024
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