Individual
BRENT SEIBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS,OTR/L
Contact information
Practice address
4511 BARDSTOWN RD, LOUISVILLE, KY 40218-4001
(502) 299-1458
Mailing address
13223 WILLOW FOREST DR, LOUISVILLE, KY 40245-1989
(502) 299-1458
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R3715
KY
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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