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Individual

MRS. MICHELLE LYNN CONVERSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS OTR/L

Contact information

Practice address
13010 EASTGATE PARK WAY, LOUISVILLE, KY 40223
(502) 244-1210
Mailing address
13010 EASTGATE PARK WAY, LOUISVILLE, KY 40223-3984
(502) 244-1210

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
133695
KY
225XP0200X
Pediatric Occupational Therapist
31004505A
IN

Other

Enumeration date
12/17/2007
Last updated
04/13/2022
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