Individual
MATTHEW D BYNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
3012 EASTPOINT PKWY, LOUISVILLE, KY 40223-4185
(502) 245-0767
Mailing address
2008 KENILWORTH PL, LOUISVILLE, KY 40205-1514
(502) 472-1341
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
162060
KY
Other
Enumeration date
01/09/2015
Last updated
12/03/2025
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