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Individual

MR. JOHN DAVID ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, OTR

Contact information

Practice address
9600 LAMBORNE BLVD, LOUISVILLE, KY 40272-2505
(812) 886-4677
Mailing address
9009 WILLOW SPRINGS DR, LOUISVILLE, KY 40242-7764
(502) 379-0958

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
131998
KY
225X00000X
Occupational Therapist
IN31004843A
IN

Other

Enumeration date
07/09/2013
Last updated
07/12/2021
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