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MS. ANITRA ROCHELLE KILLEBREW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1755 WITTINGTON PL STE 175, SUITE #175, DALLAS, TX 75234-1905
(800) 733-1676
(804) 346-5050
Mailing address
4622 S 6TH ST, APT#3, LOUISVILLE, KY 40214-2463
(502) 523-4608

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
300560
LA
225X00000X
Occupational Therapist
Primary
R4397
KY

Other

Enumeration date
01/07/2016
Last updated
01/07/2016
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