Individual
NICOLE BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
3520 SAMPLE WAY, LOUISVILLE, KY 40245-7410
(502) 550-2525
(877) 212-2525
Mailing address
200 RANO CT, RICHMOND, KY 40475-9826
(859) 623-9007
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
KY-R3455
KY
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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