Individual
MS. KERRIE JEAN JOHNSON ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
13003 LARKSPUR LN, PROSPECT, KY 40059-9714
(502) 387-4254
(502) 228-4256
Mailing address
13003 LARKSPUR LN, PROSPECT, KY 40059-9714
(502) 387-4254
(502) 228-4256
Taxonomy
Speciality
Code
Description
License number
State
225XE0001X
Environmental Modification Occupational Therapist
R0033
KY
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
R0033
KY
225XP0019X
Physical Rehabilitation Occupational Therapist
R0033
KY
225XP0200X
Pediatric Occupational Therapist
R0033
KY
Other
Enumeration date
08/12/2008
Last updated
03/30/2015
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