Individual
NICOLE BROOKE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
300 BEECH ST, KUTTAWA, KY 42055
(270) 388-2868
Mailing address
300 BEECH ST, KUTTAWA, KY 42055
(270) 388-2868
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
265496
KY
Other
Enumeration date
08/17/2020
Last updated
07/27/2022
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