Organization
BELLADELLA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY MARIE BOWLES MSOT OTRL (OCCUPATIONAL THERAPIST)
(502) 387-9079
Entity
Organization
Contact information
Practice address
2201 GOSHEN LN, GOSHEN, KY 40026-9514
(502) 468-7626
Mailing address
PO BOX 43952, LOUISVILLE, KY 40253-0952
(502) 387-9079
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
KYR3673
KY
225X00000X
Occupational Therapist
Primary
KYR3676
KY
Other
Enumeration date
02/22/2007
Last updated
08/22/2020
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