Individual
CHRISTOPHER ROBERT BELLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
4130 DUTCHMANS LN STE 101, LOUISVILLE, KY 40207-4708
(502) 897-1794
(502) 897-3852
Mailing address
4130 DUTCHMANS LN STE 300, LOUISVILLE, KY 40207-4710
(502) 897-1794
(502) 897-3852
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
31007089A
IN
225X00000X
Occupational Therapist
Primary
R5546
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30006426
—
IN
05
—
7100377600
—
KY
Enumeration date
04/24/2013
Last updated
08/03/2023
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