Individual
MICHAEL COLDIRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
401 BOGLE ST STE 206, SOMERSET, KY 42503-2850
(859) 398-8234
(606) 398-8235
Mailing address
401 BOGLE ST STE 206, SOMERSET, KY 42503-2850
(606) 398-8234
(606) 398-8235
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R5688
—
225XP0200X
Pediatric Occupational Therapist
R5688
KY
Other
Enumeration date
09/02/2014
Last updated
08/19/2024
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