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Individual

AUDREY LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
225 FALCON DR, MOUNT STERLING, KY 40353-9792
(859) 497-5000
Mailing address
165 KINGSWOOD DR, TAYLORSVILLE, KY 40071-6910
(502) 320-2850

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
225XN1300X
Neurorehabilitation Occupational Therapist
R5395
KY

Other

Enumeration date
02/01/2016
Last updated
10/24/2019
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