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Individual

KRISTA M CHILDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1001 MONARCH ST STE 110, LEXINGTON, KY 40513-1848
(859) 224-0834
(859) 224-0882
Mailing address
1001 MONARCH ST STE 110, LEXINGTON, KY 40513-1848
(859) 224-0834
(859) 224-0882

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R4957
KY

Other

Enumeration date
08/10/2011
Last updated
09/14/2011
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