Individual
DESIREE REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 MAPLE CT, LOUISVILLE, KY 40214-1413
(714) 408-8511
Mailing address
9 MAPLE CT, LOUISVILLE, KY 40214-1413
(714) 408-8511
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A5483
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2430
CALIFORNIA BOARD OF OCCUPATIONAL THERAPY
CA
01
—
303236
NBCOT
—
01
—
A5483
KENTUCKY BOARD OF LICENSURE FOR OCCUPATIONAL THERAPY
KY
Enumeration date
10/29/2013
Last updated
10/29/2013
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