Organization
SKILLZ 4 LIFE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLEETA HARRIS OTR/L (PRESIDENT AND CEO)
(502) 855-1271
Entity
Organization
Contact information
Practice address
3814 GREENWICH RD, LOUISVILLE, KY 40218-1616
(502) 855-1271
Mailing address
3814 GREENWICH RD, LOUISVILLE, KY 40218-1616
(502) 855-1271
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225100000X
Physical Therapist
—
—
225A00000X
Music Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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