Individual
MS. GINA JO COUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
390 PARK AVE, HAZARD, KY 41701-9548
(606) 439-2306
(606) 439-2275
Mailing address
390 PARK AVE, HAZARD, KY 41701-9548
(606) 439-2306
(606) 439-2275
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
134477
KY
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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