Organization
YOUR OT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADY L EMBRY OTR/L (OCCUPATIONAL THERAPIST)
(502) 741-9797
Entity
Organization
Contact information
Practice address
1008 S SHELBY ST, LOUISVILLE, KY 40203-3414
(502) 741-9797
Mailing address
1008 S SHELBY ST, LOUISVILLE, KY 40203-3414
(502) 741-9797
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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