Individual
KELSEY ANN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4121 SHELBYVILLE RD # 7, LOUISVILLE, KY 40207-3205
(502) 893-1380
(502) 893-1773
Mailing address
4121 SHELBYVILLE RD # 7, LOUISVILLE, KY 40207-3205
(502) 893-1380
(502) 893-1773
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
162802
KY
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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