Individual
MALLORY OSBORNE GOETTL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
400 FARRIS PARKS BLVD, RICHMOND, KY 40475-7650
(859) 353-3666
Mailing address
400 FARRIS PARKS BLVD, RICHMOND, KY 40475-7650
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
260897
KY
Other
Enumeration date
11/21/2019
Last updated
03/20/2024
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