Individual
MISS PATRICIA TALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
1717 ASHMOOR LN, LOUISVILLE, KY 40223-1004
(502) 689-0611
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005636A
IN
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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