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Individual

ABBY BROOKE NEVILLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-5166
Mailing address
2337 SAINT MALO ST, MADISONVILLE, KY 42431-8726
(270) 399-6625

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
274722
KY

Other

Enumeration date
08/10/2023
Last updated
08/10/2023
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