Individual
MRS. STEPHANIE A BLUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3520 SAMPLE WAY, LOUISVILLE, KY 40245-7410
(502) 550-2525
Mailing address
123 CAMELLIA CT, LOUISVILLE, KY 40229-6005
(502) 291-6307
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
KY-A3142
KY
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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