Individual
ERICA TUDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
233 RUCCIO WAY, LEXINGTON, KY 40503-3584
(859) 888-8888
Mailing address
233 RUCCIO WAY, LEXINGTON, KY 40503-3584
(888) 888-8888
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/03/2014
Last updated
05/11/2015
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