Individual
MRS. SHELLY D WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
4917 BROWNSBORO RD, LOUISVILLE, KY 40222-6465
(502) 345-0932
Mailing address
7246 HEATHERLY SQ, LOUISVILLE, KY 40242-2847
(502) 345-0932
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
134245
KY
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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