Individual
DONNA ENTRICAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3324 FRONTIER TRL, LOUISVILLE, KY 40220-2654
(502) 435-6316
Mailing address
501 CHIEFTAIN DR, FAIRDALE, KY 40118-9684
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
KY-R0090
KY
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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