Individual
MATTIE LATREA PIERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
303 N HURSTBOURNE PKWY, STE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
1601 HOLMAN AVE, #2, COVINGTON, KY 41011-2939
(859) 814-8400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.04565
OH
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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