Individual
PORSHIA PENDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
4204 LAKE DREAMLAND DR, LOUISVILLE, KY 40216-3219
(502) 418-3127
Mailing address
4204 LAKE DREAMLAND DR, LOUISVILLE, KY 40216-3219
(502) 418-3127
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
265524
KY
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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