Individual
MEGGIN WISHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 MILLVALE RD, LOUISVILLE, KY 40205-1604
(502) 451-0990
Mailing address
109 BLACKBURN AVE, LOUISVILLE, KY 40206-2720
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
136556
KY
224Z00000X
Occupational Therapy Assistant
Primary
136566
KY
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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