Individual
AMY A. WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
875 PENNSYLVANIA AVE, BARDSTOWN, KY 40004-2529
(502) 349-6961
Mailing address
109 FROMAN GREENWELL RD, BARDSTOWN, KY 40004-9424
(502) 331-0891
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R1388
KY
Other
Enumeration date
07/18/2006
Last updated
03/09/2010
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