Individual
KATHERINE MENDEZ-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
204 BEECH ST, ELIZABETHTOWN, KY 42701-1802
(270) 317-2825
Mailing address
204 BEECH ST, ELIZABETHTOWN, KY 42701-1802
(270) 317-2825
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
R5695
KY
Other
Enumeration date
12/27/2013
Last updated
12/27/2013
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