Individual
MRS. OLIVIA MIRANDA ROSE SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1890 STAR SHOOT PKWY STE 170, LEXINGTON, KY 40509-4567
(859) 333-8147
Mailing address
600 COUNTRY ESTATES RD, BAXTER, KY 40806-7409
(606) 273-0816
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
281573
KY
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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