Individual
MRS. MERCEDES DIANE ANDRADE-COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2026 NEW MAIN ST, LOUISVILLE, KY 40206-2006
(502) 422-0052
Mailing address
2026 NEW MAIN ST, LOUISVILLE, KY 40206-2006
(502) 595-7782
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
169054
KY
Other
Enumeration date
10/25/2016
Last updated
03/17/2018
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