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Individual

CHARLY WOLFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9600 LAMBORNE BLVD, LOUISVILLE, KY 40272-2505
(877) 787-3422
Mailing address
11240 HIGHWAY 60, SELLERSBURG, IN 47172-9634
(502) 693-9533

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
05/25/2021
Last updated
05/25/2021
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