Individual
JUDY POIRY GRADL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8407 BAYOU WAY, LOUISVILLE, KY 40242-3003
(502) 339-7669
Mailing address
8407 BAYOU WAY, LOUISVILLE, KY 40242-3003
(502) 339-7669
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R0955
KY
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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