Individual
NANCY M DOWNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
310 N HITE AVE, APT 9, LOUISVILLE, KY 40206-1278
(270) 484-6308
Mailing address
310 N HITE AVE, APT 9, LOUISVILLE, KY 40206-1278
(270) 484-6308
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
99045801A
IN
222Q00000X
Developmental Therapist
Primary
A5077
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99045801A
OTA CERTIFICATION FOR IN
IN
01
—
A5077
OTA CERTIFICATION
KY
Enumeration date
03/28/2012
Last updated
03/28/2012
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