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Individual

MICHELLE MCANELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
1239 WOODLAND DR, SUITE 103, ELIZABETHTOWN, KY 42701-2770
(270) 763-0703
(270) 763-0709
Mailing address
1239 WOODLAND DR, SUITE 103, ELIZABETHTOWN, KY 42701-2770
(270) 763-0703
(270) 763-0709

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R3209
KY

Other

Enumeration date
04/12/2007
Last updated
07/08/2007
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