Individual
MRS. KIMBERLY JO HARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
11013 JEFFERSON TRACE BLVD, LOUISVILLE, KY 40291-4229
(502) 749-2983
Mailing address
11013 JEFFERSON TRACE BLVD, LOUISVILLE, KY 40291-4229
(502) 749-2983
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003846A
IN
225X00000X
Occupational Therapist
KY-R3134
KY
Other
Enumeration date
08/15/2008
Last updated
08/15/2008
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