Individual
IRELEND GRACE GREENWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-2877
(502) 582-7400
Mailing address
108 STAEBLER AVE, LOUISVILLE, KY 40207-2615
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
493551
KY
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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