Individual
ANETH TELLEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9203 BLOSSOM LN APT 2, LOUISVILLE, KY 40241-2261
(502) 712-2012
Mailing address
9203 BLOSSOM LN APT 2, LOUISVILLE, KY 40241-2261
(502) 712-2012
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
131125
KY
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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