Individual
MRS. JAMIE FAITH DERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
768 RICHWOOD RD, WALTON, KY 41094-9517
(859) 991-0358
Mailing address
768 RICHWOOD RD, WALTON, KY 41094-9517
(859) 991-0358
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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