Individual
MOLLY DANIELLE MUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1707 CEDAR GROVE RD, SHEPHERDSVILLE, KY 40165-8572
(502) 633-1007
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 428-9994
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
173058
KY
Other
Enumeration date
08/15/2023
Last updated
09/11/2023
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