Individual
LARISSA RENEE GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2490 CORY RD, OLIVE HILL, KY 41164-8197
(502) 999-1796
Mailing address
2490 CORY RD, OLIVE HILL, KY 41164-8197
(502) 999-1796
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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