Individual
MARY JANE DARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2607 MAIN STREET, BENTON, KY 42025
(270) 527-0147
Mailing address
2607 MAIN STREET, BENTON, KY 42025
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057.002750
IL
224Z00000X
Occupational Therapy Assistant
2006019734
MO
224Z00000X
Occupational Therapy Assistant
Primary
KY-A3613
KY
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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