Individual
MRS. AMANDA LEE EDSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
9880 ANGIES WAY STE 100, LOUISVILLE, KY 40241-2851
(502) 339-6490
(502) 339-6492
Mailing address
405 WOODED FALLS RD, LOUISVILLE, KY 40243-2095
(502) 552-7255
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
R3009
KY
Other
Enumeration date
11/13/2006
Last updated
04/29/2014
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