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Individual

MR. PAUL S BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA/L

Contact information

Practice address
6301 BASS RD, PROSPECT, KY 40059-9384
(502) 228-8359
Mailing address
2214 SHERWOOD AVE APT 9, LOUISVILLE, KY 40205-1159
(601) 926-8407

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
2248
TN
224Z00000X
Occupational Therapy Assistant
268531
KY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
KY

Other

Enumeration date
10/03/2013
Last updated
03/20/2026
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