Individual
MRS. MICHELLE MARIE EDELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1980 OLD GREENSBURG RD, CAMPBELLSVILLE, KY 42718-2536
(270) 465-3506
Mailing address
570 GEORGE EDELEN RD, LORETTO, KY 40037-8141
(270) 865-5708
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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