Individual
MARY SIVADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5514 GREY HAWK CIR, LOUISVILLE, KY 40219-5139
(502) 592-0781
Mailing address
12518 FARMBROOK DR, LOUISVILLE, KY 40243-2166
(502) 592-0781
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/30/2015
Last updated
04/06/2016
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