Individual
TUDOR PANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1941 BISHOP LN STE 404, LOUISVILLE, KY 40218-1922
(502) 488-2753
(502) 308-4725
Mailing address
1941 BISHOP LN STE 404, LOUISVILLE, KY 40218-1922
(502) 488-2753
(502) 308-4725
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
246560
KY
225X00000X
Occupational Therapist
31006869A
IN
225XH1200X
Hand Occupational Therapist
246560
KY
225XH1200X
Hand Occupational Therapist
31006869A
IN
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
246560
KY
225XN1300X
Neurorehabilitation Occupational Therapist
31006869A
IN
225XP0019X
Physical Rehabilitation Occupational Therapist
246560
KY
225XP0019X
Physical Rehabilitation Occupational Therapist
31006869A
IN
Other
Enumeration date
01/08/2025
Last updated
11/12/2025
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