Individual
SUJATA M MANKAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
(502) 596-6292
(877) 301-7782
Mailing address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0000000790
TN
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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