Individual
AUTUMN KIMBERLEE BAISDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
260 HOSPITAL DR, SOUTH WILLIAMSON, KY 41503-4072
(606) 237-1700
Mailing address
260 HOSPITAL DR, SOUTH WILLIAMSON, KY 41503-4072
(606) 237-1700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
260970
KY
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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