Individual
SUDARA ANNETTE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
6422 MCHUGH PL, CINCINNATI, OH 45213-1878
(513) 378-7758
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2203
OH
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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