Individual
MICHELLE VANEGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
2012 STRATHMOOR BLVD, LOUISVILLE, KY 40205-2528
(502) 299-6211
Mailing address
2012 STRATHMOOR BLVD, LOUISVILLE, KY 40205-2528
(502) 299-6211
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R4072
KY
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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