Individual
MARY JO FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
1513 VALLEY BROOK RD, LOUISVILLE, KY 40222-4221
(502) 649-0641
Mailing address
1513 VALLEY BROOK RD, LOUISVILLE, KY 40222-4221
(502) 649-0641
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
R0366
KY
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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