Organization
PICKLED PEPPER LLC
Active
Organization
PICKLED PEPPER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY JULIA SMARR OT/L (OCCUPATIONAL THERAPIST)
(859) 492-5678
Entity
Organization
Contact information
Practice address
1140 STOURBRIDGE ST, VERSAILLES, KY 40383-1880
(859) 492-5678
(859) 879-8004
Mailing address
1140 STOURBRIDGE ST, VERSAILLES, KY 40383-1880
(859) 492-5678
(859) 879-8004
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R0972
KY
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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