Individual
BRITTNEY FORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 INDIANA AVE, MAYFIELD, KY 42066-1766
(270) 247-0200
Mailing address
PO BOX 113, WINGO, KY 42088-0113
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
338884
MO
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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