Individual
ANITA MICHELLE NOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
101 EASTSIDE DR STE D, GEORGETOWN, KY 40324-8763
(502) 867-0111
Mailing address
101 EASTSIDE DR STE D, GEORGETOWN, KY 40324-8763
(502) 867-0111
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3775
KY
Other
Enumeration date
09/06/2021
Last updated
09/06/2021
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