Individual
MS. CONSTANCE S GREENWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2620 PINDELL AVE, LOUISVILLE, KY 40217-2322
(502) 216-3789
Mailing address
2620 PINDELL AVE, LOUISVILLE, KY 40217-2322
(502) 216-3789
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2864
NM
224Z00000X
Occupational Therapy Assistant
A3658
KY
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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