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Individual

BRITTANY NICOLE MOFFIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTA/L

Contact information

Practice address
1155 EASTERN PKWY, LOUISVILLE, KY 40217-1401
(502) 636-5241
Mailing address
145 SAINT FRANCIS RD, SAINT FRANCIS, KY 40062-7013
(859) 267-0166

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
171470
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
171470
KENTUCKY BOARD OF LICENSURE FOR OCCUPATIONAL THERAPY
KY
Enumeration date
07/15/2021
Last updated
07/15/2021
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