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Individual

NATALIE R. COTTONGIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.T.

Contact information

Practice address
1520 BAXTER AVE, LOUISVILLE, KY 40205-1096
(502) 896-8147
Mailing address
1520 BAXTER AVE, LOUISVILLE, KY 40205-1096
(502) 896-8147

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3893
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1463
CBIS PROVIDER NUMBER
KY
Enumeration date
10/28/2008
Last updated
04/30/2019
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