Individual
STUTI RAMENDRA O'BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3504 MARLIN DR, LOUISVILLE, KY 40299-3531
(502) 744-3772
Mailing address
3504 MARLIN DR, LOUISVILLE, KY 40299-3531
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
31003978A
IN
225X00000X
Occupational Therapist
Primary
KY-R2646
KY
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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