Individual
LARRY EDWARD MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
945 W RUSSELL ST, ELKHORN CITY, KY 41522-7071
(606) 754-4134
(606) 754-5704
Mailing address
19 WINDWARD LN, PIKEVILLE, KY 41501-3318
(606) 754-4134
(606) 754-5704
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R2027
KY
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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