Individual
MRS. ALEXIS PAIGE YORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4603 TIMBERWALK CT, LA GRANGE, KY 40031-6746
(502) 905-2558
Mailing address
709 BAYNE AVE, SHELBYVILLE, KY 40065-1703
(502) 905-2558
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
174897
KY
Other
Enumeration date
02/16/2020
Last updated
02/16/2020
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