Individual
COURTNEY JEAN SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
901 KILGORE DR, ASHLAND, KY 41101-3118
(606) 831-8752
Mailing address
5052 MAID MARION CT, ASHLAND, KY 41101-6822
(160) 683-1875
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
KY-A3948
KY
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
KY-A3948
KY
224ZL0004X
Low Vision Occupational Therapy Assistant
KY-A3948
KY
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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