Individual
MRS. BRANDY LEE FOXWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
105 WINDSOR PATH STE 1, GEORGETOWN, KY 40324-9617
(502) 570-2337
Mailing address
105 WINDSOR PATH STE 1, GEORGETOWN, KY 40324-9617
(502) 570-2337
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
32002145A
IN
224Z00000X
Occupational Therapy Assistant
Primary
A5225
KY
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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