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Individual

KIMBERLY SUE MELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
9600 LAMBORNE BLVD, LOUISVILLE, KY 40272-2505
(502) 995-5121
Mailing address
8208 COOPER CHAPEL RD, LOUISVILLE, KY 40229-1756
(502) 468-2220

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary

Other

Enumeration date
08/23/2018
Last updated
08/23/2018
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