Individual
BREONA TRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4711 S HURSTBOURNE PKWY, LOUISVILLE, KY 40291-7202
(502) 873-3800
Mailing address
6809 YAZOO ST APT 107, LOUISVILLE, KY 40258-4024
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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