Individual
LORI ANN ZASTROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 CIRCLE DR, BEREA, KY 40403-1007
(859) 986-0660
Mailing address
140 CIRCLE DR, BEREA, KY 40403-1007
(859) 986-0660
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
000068232
KY
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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