Individual
ALEXANDRIA MAPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
529 WESTPORT RD, ELIZABETHTOWN, KY 42701-2949
(270) 763-8225
Mailing address
420 GEORGIA LN, ELIZABETHTOWN, KY 42701-5509
(270) 307-4917
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
BOTOCT00225475
KY
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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