Individual
MRS. AMY P O'BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
159 SAINT MATTHEWS AVE STE 10, LOUISVILLE, KY 40207-3137
(502) 899-7105
(502) 899-1403
Mailing address
1715 GRIFFIN GATE RD, LOUISVILLE, KY 40205-2739
(502) 417-1092
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R1524
KY
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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