Individual
OLGA PONOMARENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
1172 DUQUESNE RD, VENICE, FL 34293-6423
(941) 493-7810
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA8927
FL
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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